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NPI Code Detail

MEDICARE: MOMINA ZAHID RBT

MEDICARE:   MOMINA  ZAHID  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
1390200000XStudent in an Organized Health Care Education/Training Program
2106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952900417
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOMINA ZAHID RBT
Provider Business Mailing Address
First Line : 8074 GATE PKWY W APT 4223
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-1621
Country : US
Telephone Number : 919-744-7323
Fax Number :
Provider Business Practice Location Address
First Line : 12735 GRAN BAY PKWY W STE 204
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32258-4499
Country : US
Telephone Number : 888-754-0398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2020
Last Update Date : 05/10/2022

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Directions to “ MOMINA ZAHID RBT” Practice Location

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