Manal Ahmad Farhan, RBT-19-78575

NPI #1184181703 in Northbrook, Illinois

Provider Information

NPI Number: 1184181703
Entity Type: Individual
Name: Manal Ahmad Farhan, RBT-19-78575
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT-19-78575
Enumeration Date: Mar 1, 2019
Last Updated: Mar 1, 2019

Practice Location

Address: 5 REVERE DR STE 120
City: Northbrook
State: Illinois
ZIP Code: 60062-8005
Phone: (847) 306-9843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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