Sujood Abdel-Latif
Behavior Technician in Dayton, OH. Individual provider (NPI-1).
NPI number1336075308
StatusActive
Last updated in NPPESJun 18, 2026
Details
- NPI
- 1336075308
- Entity type
- Individual (NPI-1)
- Name
- Sujood Abdel-Latif
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2026
- Certification date
- Jun 18, 2026
- Last updated
- Jun 18, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-25-494852 | OH | Yes |
Practice location
4134 Linden AveDayton, OH 45432-3043
Phone 937-365-7455 · Fax 937-600-6071
Mailing address
1628 E Dorothy LnKettering, OH 45429-3810
Phone 937-750-8236 · Fax 937-600-6071
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.
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