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NPI Code Detail

MEDICARE: MARIUM KHAN RBT

MEDICARE:   MARIUM  KHAN  RBT
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 : 1497506083
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIUM KHAN RBT
Provider Business Mailing Address
First Line : 4307 PLANTREE RD
Second Line :
City : NAPERVILLE
State : IL
Zip : 60564-1240
Country : US
Telephone Number : 630-335-6459
Fax Number :
Provider Business Practice Location Address
First Line : 4050 HEALTHWAY DR STE 110
Second Line :
City : AURORA
State : IL
Zip : 60504-8184
Country : US
Telephone Number : 630-335-6459
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2024
Last Update Date : 04/02/2024

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Directions to “ MARIUM KHAN RBT” Practice Location

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