Provider Demographics
NPI:1427733708
Name:ALJNABI, NABAA
Entity type:Individual
Prefix:
First Name:NABAA
Middle Name:
Last Name:ALJNABI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4224 W CARVER RD
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-3201
Mailing Address - Country:US
Mailing Address - Phone:480-427-7265
Mailing Address - Fax:
Practice Address - Street 1:4224 W CARVER RD
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-3201
Practice Address - Country:US
Practice Address - Phone:480-427-7265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician