Individual
MOHAMED ADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1730 RACHAEL ST # A, PHILADELPHIA, PA 19115-4272
(267) 258-0313
Mailing address
1730 RACHAEL ST # A, PHILADELPHIA, PA 19115-4272
(267) 258-0313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001379
PA
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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