Individual provider · NPI-1
Aisha J Abdul-Malik
Behavior Technician · Cary, NC
NPI number1407551187
StatusActive
Last updated in NPPESApr 3, 2023
Details
- NPI
- 1407551187
- Entity type
- Individual (NPI-1)
- Name
- Aisha J Abdul-Malik
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2023
- Certification date
- Apr 3, 2023
- Last updated
- Apr 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
956 W Chatham StCary, NC 27511-3169
Phone 919-822-8802
Mailing address
956 W Chatham StCary, NC 27511-3169
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