Luqman Abdur-Rauf

Individual provider Active NPI Behavior Technician · Worcester, MA

NPI 1194517474 · NPPES record last updated May 21, 2025

Key facts

NPI
1194517474
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
27 Bullard Ave
Worcester, MA 01605-1643
Phone
(413) 409-1221
NPI assigned
May 21, 2025
Sex
Male
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

27 Bullard Ave
Worcester, MA 01605-1643

Mailing address

27 Bullard Ave
Worcester, MA 01605-1643
Phone (413) 309-0388

Other providers in Worcester, MA

All providers in Worcester, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.