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Jennah Abdul-Malik

Behavior Technician in Marlborough, MA. Individual provider (NPI-1).

NPI number1750145074
StatusActive
Last updated in NPPESFeb 7, 2024

Details

NPI
1750145074
Entity type
Individual (NPI-1)
Name
Jennah Abdul-Malik
Sex
Female
Sole proprietor
No
Enumeration date
Feb 7, 2024
Certification date
Feb 7, 2024
Last updated
Feb 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

225 Cedar Hill St Ste 200
Marlborough, MA 01752-5900

Phone 943-243-4218

Mailing address

50 Walton Green Way Nw
Kennesaw, GA 30144-1295

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