Individual
ABDELFATTAH HAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1818 S AUSTRALIAN AVE STE 420, WEST PALM BEACH, FL 33409-6447
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-138459
FL
Other
Enumeration date
10/18/2020
Last updated
10/18/2020
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