Tabarak Al Ahmad

Individual provider Active NPI Behavior Technician · Meridian, ID

NPI 1114725322 · NPPES record last updated Mar 4, 2025

Key facts

NPI
1114725322
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
3235 E Overland Rd
Meridian, ID 83642-6711
Phone
(888) 392-8642
NPI assigned
Mar 4, 2025
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

3235 E Overland Rd
Meridian, ID 83642-6711

Mailing address

1632 N Todd Way
Meridian, ID 83646-1203

Other providers in Meridian, ID

All providers in Meridian, ID · Behavior Technician in Idaho

Sources for this page

Verify at the official NPI Registry.