Iman Adam

Individual provider Active NPI Behavior Technician · Gilbert, AZ

NPI 1346916848 · NPPES record last updated Aug 17, 2021

Key facts

NPI
1346916848
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1166 S Gilbert Rd
Suite 106
Gilbert, AZ 85296-3460
Phone
(303) 989-8169
NPI assigned
Aug 17, 2021
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1166 S Gilbert Rd
Suite 106
Gilbert, AZ 85296-3460

Mailing address

1166 S Gilbert Rd
Suite 106
Gilbert, AZ 85296-3460

Other providers in Gilbert, AZ

All providers in Gilbert, AZ · Behavior Technician in Arizona

Sources for this page

Verify at the official NPI Registry.