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NPI Code Detail

MEDICARE: AISHA ANSAR

MEDICARE:   AISHA  ANSAR
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 : 1407203284
Entity Type Code : Individual
Provider Name (Legal Business Name) : AISHA ANSAR
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number : 561-312-3823
Fax Number :
Provider Business Practice Location Address
First Line : 931 VILLAGE BLVD STE 905
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33409-1804
Country : US
Telephone Number : 561-312-3823
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2016
Last Update Date : 03/14/2024

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Directions to “ AISHA ANSAR ” Practice Location

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