Haidy Abdoalhamid

Individual provider Active NPI Behavior Technician · Liberty, MO

NPI 1104624451 · NPPES record last updated Mar 4, 2025

Key facts

NPI
1104624451
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
523 N 291 Hwy
Liberty, MO 64068-1045
Phone
(816) 384-0099
NPI assigned
Mar 4, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Center for Autism and Child Development, Inc. Past
since Mar 11, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X MO Yes

Addresses

Primary practice location

523 N 291 Hwy
Liberty, MO 64068-1045

Mailing address

523 N 291 Hwy
Liberty, MO 64068-1045
Phone (816) 384-0099

Other providers in Liberty, MO

All providers in Liberty, MO · Behavior Technician in Missouri

Sources for this page

Verify at the official NPI Registry.