Provider Demographics
NPI:1114758976
Name:KHAIR MOHAMMAD, YULDOZ (RBT)
Entity type:Individual
Prefix:
First Name:YULDOZ
Middle Name:
Last Name:KHAIR MOHAMMAD
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9300 MEADOWFIELD CT APT V
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-2385
Mailing Address - Country:US
Mailing Address - Phone:804-300-4136
Mailing Address - Fax:
Practice Address - Street 1:2421 WESTWOOD AVE.
Practice Address - Street 2:SUITE F
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-2323
Practice Address - Country:US
Practice Address - Phone:804-317-2288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician