Fatima Fofanah

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2 Logan SQ Ste 300
Philadelphia, PA 19103-2733

Phone

(888) 922-2843

Fax

(855) 568-2494

NPI assigned

Apr 30, 2022

Last updated

Apr 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1651276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651276800000",
    "number": "1336884709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 S SYLMAR ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422125",
            "telephone_number": "215-607-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LOGAN SQ STE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191032733",
            "telephone_number": "888-922-2843",
            "fax_number": "855-568-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOFANAH",
        "first_name": "FATIMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-30",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Focal Point Eyewear
• Focus Driven Caregivers LLC
• Ahmed Baher Foda, M.D.
• Foe Love & Care Homecare Agency LLC
• Sara Foelster, CRNP
• Olivia Fogarty, M.S., CCC-SLP
• Patrick F Fogarty, MD
• Leah Fogel, LSW
• Maiah Fogel, DO
• Mark A Fogel, M.A

• Behavior Technician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Behavior Technician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2022; 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.