Individual
ELLAHA IBADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3361 GROVE CRABTREE CRES APT 934, RALEIGH, NC 27613-3076
(919) 879-4048
Mailing address
3361 GROVE CRABTREE CRES, RALEIGH, NC 27613-3076
(919) 879-4048
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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