Imtisal Awan
Individual provider Active NPI Behavior Technician · Bayport, NY
NPI 1215860952 · NPPES record last updated Jun 3, 2026
Key facts
- NPI
- 1215860952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 325 1St Ave
Bayport, NY 11705-1303 - Phone
- (631) 889-5185
- NPI assigned
- Jun 3, 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
325 1St Ave
Bayport, NY 11705-1303
Mailing address
3415 Bataan Memorial W
Las Cruces, NM 88012-5012
Phone (505) 392-3482
Other providers in Bayport, NY
- Tara Anglim
- Shahla Arif
- Emily Arntsen
- Emily Michelle Arpino
- Autism Behavior Consulting, LLC
- Anthony Emanuel Badalamenti
- Theresa Ann Bailey
- Geovanni Baugh
- Bayport Medical Group PC
- Bayport Podiatry Care, P.C.
All providers in Bayport, NY · Behavior Technician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 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.