AZWANINA SHAHIZAN BINTI AZHAM SHAH
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1952927030- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3781 BAYLEY DR STE B, LAFAYETTE, IN, 479058657
- Phone
- (765) 201-4767
- Fax
- (317) 520-8200
Specialties & Taxonomies
Behavior Technician
Primary License: IN #RBT-18-50946