Fight4Life Incorporated

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

FIGHT4LIFE INCORPORATED

Practice address

4411 S 40TH St
Phoenix, AZ 85040-2950

Phone

(480) 744-3166

NPI assigned

Dec 19, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Qaadir'Naqib Muhammad Sr.

Title

Manager

Phone

(520) 252-7159

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1063050177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 E OSBORN RD APT 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145317",
            "telephone_number": "520-252-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 S 40TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402950",
            "telephone_number": "480-744-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIGHT4LIFE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "QAADIR'NAQIB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-252-7159",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.