MEDICARE: SAIYDAH ABDALLAH 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
1	106S00000X	Behavior Technician	RBT-25-416007	PA

General Provider Information

NPI Number	:	1760378707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAIYDAH ABDALLAH RBT

Provider Business Mailing Address
First Line	:	2703 BUTLER ST
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17103-2032
Country	:	US
Telephone Number	:	717-590-9805
Fax Number	:

Provider Business Practice Location Address
First Line	:	2703 BUTLER ST
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17103-2032
Country	:	US
Telephone Number	:	717-590-9805
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2025
Last Update Date	:	06/16/2025

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