Most Relevant Information
Provider Data
| NPI Number: | 1003506809 |
| Provider Name: | KHALID LAKHDAR-AZZOUZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-23-271965 |
Most Important Dates
| Enumeration Date: | 05/15/2023 |
| Last Updated: | 05/15/2023 |
Provider Practice Location
11925 SW 72ND ST
MIAMI
FL
331832709
Practice Location Phone/Fax
| Phone: | 7862854258 |
| Fax: |
Provider Mailing Location
11925 SW 72ND ST
MIAMI
FL
331832709
Provider Mailing Phone/Fax
| Phone: | 7862854258 |
| Fax: |