Individual
TEBA AIJAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1517 REISTERSTOWN RD STE 211, BALTIMORE, MD 21208-4325
(410) 205-9412
Mailing address
4150 ASHFORD DUNWOODY RD NE UNIT 1431, BROOKHAVEN, GA 30319-1618
(312) 881-9044
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56947
IL
103K00000X
Behavior Analyst
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Other
Enumeration date
09/07/2015
Last updated
12/13/2024
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