Samer Alkhafaji
Individual provider Active NPI Behavior Analyst · Phoenix, AZ
NPI 1962147397 · NPPES record last updated Apr 29, 2022
Key facts
- NPI
- 1962147397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 4225 W Glendale Ave Ste B200
Phoenix, AZ 85051-8158 - Phone
- (602) 653-4035
- NPI assigned
- Apr 29, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| Meras LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
4225 W Glendale Ave Ste B200
Phoenix, AZ 85051-8158
Mailing address
4225 W Glendale Ave Ste B200
Phoenix, AZ 85051-8158
Phone (602) 653-4035
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2022. 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.