Khadijat Alabi
Individual provider Active NPI Behavior Technician · Bruceton, TN
NPI 1083534028 · NPPES record last updated Jul 20, 2026
Key facts
- NPI
- 1083534028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 29639 Broad St
Bruceton, TN 38317-2203 - Phone
- (925) 727-3712
- NPI assigned
- Jul 20, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
29639 Broad St
Bruceton, TN 38317-2203
Mailing address
3415 Bataan Memorial W
Las Cruces, NM 88012-5012
Phone (505) 392-3482
Other providers in Bruceton, TN
- Brikyah Abercrombie
- Skylar Adams
- Deven Andrews
- Autumn Autry
- Brittany Auxter
- Ashley Baker
- Jenna Barker
All providers in Bruceton, TN · Behavior Technician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.