Shariffah Chuma Azzaam
Individual provider Active NPI Behavior Analyst · Philadelphia, PA
NPI 1396360459 · NPPES record last updated Jun 14, 2020
Key facts
- NPI
- 1396360459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-18-29537 (ZZ)
- Practice address
- 5862 N 6TH St
Philadelphia, PA 19120-1303 - Phone
- (302) 307-1663
- NPI assigned
- Jun 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Behavior Analytics | Behavior Analyst | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | 1-18-29537 | ZZ | Yes |
Addresses
Primary practice location
5862 N 6TH St
Philadelphia, PA 19120-1303
Mailing address
5862 N 6TH St
Philadelphia, PA 19120-1303
Other providers in Philadelphia, PA
- Wanda Mercy Azu Owoh
- Ifeanyi Azubuike
- Jennifer U Azubuike
- Oren Azulay
- Eric Azvolinsky
- Tina Louise Azzano
- Jason Azzara
- Elizabeth Mae Azzato
- Amjad Azzawe
- Yasmine Azzi
All providers in Philadelphia, PA · Behavior Analyst in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2020. 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.