Organization
COMMUNITY BEHAVIOR ANALYTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARIFFAH AZZAAM (OWNER)
(302) 307-1663
Entity
Organization
Contact information
Practice address
8 THE GRN STE 10869, DOVER, DE 19901-3618
(302) 307-1663
Mailing address
5862 N 6TH ST, PHILADELPHIA, PA 19120-1303
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
06/21/2020
Last updated
01/08/2023
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