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NPI Code Detail

MEDICARE: NAFISA TASNIM AHMED

MEDICARE: NAFISA TASNIM AHMED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1013868389
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAFISA TASNIM AHMED
Provider Business Mailing Address
First Line : 3501 W KENOSHA ST
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74012-8948
Country : US
Telephone Number : 918-994-2764
Fax Number :
Provider Business Practice Location Address
First Line : 3501 W KENOSHA ST
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74012-8948
Country : US
Telephone Number : 918-994-2764
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ NAFISA TASNIM AHMED ” Practice Location

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