Sujood Abdel-Latif
Individual provider Active NPI Behavior Technician · Dayton, OH
NPI 1336075308 · NPPES record last updated Jun 18, 2026
Key facts
- NPI
- 1336075308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-25-494852 (OH)
- Practice address
- 4134 Linden Ave
Dayton, OH 45432-3043 - Phone
- (937) 365-7455
- Fax
- (937) 600-6071
- NPI assigned
- Jun 18, 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 | RBT-25-494852 | OH | Yes |
Addresses
Primary practice location
4134 Linden Ave
Dayton, OH 45432-3043
Mailing address
1628 E Dorothy LN
Kettering, OH 45429-3810
Phone (937) 750-8236
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 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.