Ajwa Bajwa
Behavior Technician in Georgetown, KY. Individual provider (NPI-1).
NPI number1912760232
StatusActive
Last updated in NPPESJan 31, 2024
Details
- NPI
- 1912760232
- Entity type
- Individual (NPI-1)
- Name
- Ajwa Bajwa
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2024
- Certification date
- Jan 31, 2024
- Last updated
- Jan 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
104 Market PathGeorgetown, KY 40324-1579
Phone 502-632-6241
Mailing address
725 E College St Apt 8Georgetown, KY 40324-1651
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