Individual
ASIF ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
(877) 418-2978
(866) 500-2186
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
FL
106S00000X
Behavior Technician
—
FL
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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