Provider Demographics
NPI:1932859816
Name:SAID, SELMA ABDI (CBT)
Entity type:Individual
Prefix:
First Name:SELMA
Middle Name:ABDI
Last Name:SAID
Suffix:
Gender:F
Credentials:CBT
Other - Prefix:
Other - First Name:OMMULQEYR
Other - Middle Name:ABDI
Other - Last Name:SAID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3408 S 283RD LN
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-1129
Mailing Address - Country:US
Mailing Address - Phone:701-885-1088
Mailing Address - Fax:
Practice Address - Street 1:27023 164TH AVE SE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-8241
Practice Address - Country:US
Practice Address - Phone:253-639-7146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician