Ajwa Bajwa

Individual provider Active NPI Behavior Technician · Georgetown, KY

NPI 1912760232 · NPPES record last updated Jan 31, 2024

Key facts

NPI
1912760232
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
104 Market Path
Georgetown, KY 40324-1579
Phone
(502) 632-6241
NPI assigned
Jan 31, 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

104 Market Path
Georgetown, KY 40324-1579

Mailing address

725 E College St Apt 8
Georgetown, KY 40324-1651

Other providers in Georgetown, KY

All providers in Georgetown, KY · Behavior Technician in Kentucky

Sources for this page

Verify at the official NPI Registry.