Individual provider · NPI-1

Rafsanjani Ibn Abdushahid, MPA, MAA

Day Training/Habilitation Specialist · Charlotte, NC

NPI number1861285322
StatusActive
Last updated in NPPESJul 28, 2025

Details

NPI
1861285322
Entity type
Individual (NPI-1)
Name
Rafsanjani Ibn Abdushahid
Credential
MPA, MAA
Sex
Male
Sole proprietor
Yes
Enumeration date
May 27, 2025
Certification date
Jul 28, 2025
Last updated
Jul 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes
101YM0800X Counselor, Mental Health––
106S00000X Behavior Technician––
171M00000X Case Manager/Care Coordinator––
251C00000X Day Training, Developmentally Disabled Services––
251S00000X Community/Behavioral Health––
372500000X Chore Provider––
372600000X Adult Companion––
3747P1801X Technician, Personal Care Attendant––
374U00000X Home Health Aide––
376J00000X Homemaker––
376K00000X Nurse's Aide––

Practice location

8512 Oak Dr Ne
Charlotte, NC 28269-1623

Phone 607-353-9368

Mailing address

8512 Oak Dr Ne
Charlotte, NC 28269-1623

Phone 607-353-9368

Other practice locations

7113 Blu Rail Way Unit B
Pineville, NC 28134-6621

Phone 607-353-9368

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