Maha Balouch, BA

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1463 Oakfield Dr Ste 102
Brandon, FL 33511-3893

Phone

(813) 438-8902

Fax

(813) 438-8903

NPI assigned

Mar 29, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1144725201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 OAKFIELD DR STE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335113893",
            "telephone_number": "813-438-8902",
            "fax_number": "813-438-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 OAKFIELD DR STE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335113893",
            "telephone_number": "813-438-8902",
            "fax_number": "813-438-8903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5131 S Florida Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338132514",
            "country_code": "US",
            "telephone_number": "813-438-8902",
            "fax_number": "813-438-8903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALOUCH",
        "first_name": "MAHA",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reiby Balbi
• Jo-Anne Ballard
• Lauren Ballard
• Timothy James Balling, M.D.
• Amanda Nichole Ballo, APRN
• Stephanie Banea
• Rebecca Ellyn Banilover
• Heather Banks
• Marc Baptiste
• Jennie Ann Barber, RDH

• Behavior Technician in Brandon, FL
• Providers in Brandon, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.