Most Relevant Information
Provider Data
NPI Number: | 1003373127 |
Provider Name: | KHALED KHAMIS BCBA |
Entity Type: | Individual |
Taxonomy Code: | 103K00000X |
Specialty: | Behavior Analyst |
License Number: |
Most Important Dates
Enumeration Date: | 02/25/2019 |
Last Updated: | 06/07/2022 |
Provider Practice Location
101 VILLA DR STE 270
DAPHNE
AL
365264671
Practice Location Phone/Fax
Phone: | 2512352531 |
Fax: | 8339972206 |
Provider Mailing Location
24253 ALYDAR LOOP
DAPHNE
AL
365260330
Provider Mailing Phone/Fax
Phone: | 2512352531 |
Fax: | 8339972206 |