Khadijah El-Amin

NPI #1972078947 in Odessa, Florida

Provider Information

NPI Number: 1972078947
Entity Type: Individual
Name: Khadijah El-Amin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 5, 2018
Last Updated: Oct 5, 2018

Practice Location

Address: 16414 LAKE CHURCH DR
City: Odessa
State: Florida
ZIP Code: 33556-2637
Phone: (813) 926-5454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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