Sherifat Abdullahi
Individual provider Active NPI Behavior Technician · Camby, IN
NPI 1669299236 · NPPES record last updated Sep 24, 2024
Key facts
- NPI
- 1669299236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 24350518 (IN)
- Practice address
- 7702 Hillway Dr
Camby, IN 46113-9517 - Phone
- (317) 746-3229
- NPI assigned
- Sep 24, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24350518 | IN | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 24350518 | IN | Yes |
Addresses
Primary practice location
7702 Hillway Dr
Camby, IN 46113-9517
Mailing address
6067 Decatur Blvd
Indianapolis, IN 46241-9606
Phone (317) 317-8565
Other practice location 1
6067 Decatur Blvd
Indianapolis, IN 46241-9606
Phone (317) 856-5201
Other providers in Camby, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2024. 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.