Provider Demographics
NPI:1851004378
Name:HASSAN, ALIA SABRY (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:ALIA
Middle Name:SABRY
Last Name:HASSAN
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 TALS ROCK WAY STE 1
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-1925
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:919-773-1044
Practice Address - Street 1:225 TALS ROCK WAY STE 1
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-1925
Practice Address - Country:US
Practice Address - Phone:919-745-8892
Practice Address - Fax:919-773-1044
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-29
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCRBT-22-199732106S00000X
NC2032103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician