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Asha Banu Uthumankani Kaja Mohideen, BCBA

Behavior Analyst in Lombard, IL. Individual provider (NPI-1).

NPI number1841908449
StatusActive
Last updated in NPPESNov 11, 2022

Details

NPI
1841908449
Entity type
Individual (NPI-1)
Name
Asha Banu Uthumankani Kaja Mohideen
Credential
BCBA
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 11, 2022
Certification date
Nov 11, 2022
Last updated
Nov 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

44 W Roosevelt Rd
Lombard, IL 60148-4402

Phone 855-528-8476 · Fax 630-687-8737

Mailing address

313 Buckingham Ct
Lombard, IL 60148-1667

Phone 813-334-4273

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