Individual provider · NPI-1

Tierra Abdullah

Behavior Technician · Phoenix, AZ

NPI number1326627167
StatusActive
Last updated in NPPESAug 19, 2022

Details

NPI
1326627167
Entity type
Individual (NPI-1)
Name
Tierra Abdullah
Sex
Female
Sole proprietor
No
Enumeration date
Apr 7, 2021
Certification date
Aug 19, 2022
Last updated
Aug 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1137 W Mcdowell Rd
Phoenix, AZ 85007-1747

Phone 480-577-8164

Mailing address

4504 E Wood St
Phoenix, AZ 85040-9204

Phone 480-577-8164

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Phoenix, AZ