Most Relevant Information
Provider Data
| NPI Number: | 1003642679 |
| Provider Name: | IZZUL HASIFI AZRAM BIN IKRAM |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/11/2024 |
| Last Updated: | 09/11/2024 |
Provider Practice Location
1003 7TH AVE STE A
KIRKLAND
WA
980335779
Practice Location Phone/Fax
| Phone: | 4256583016 |
| Fax: |
Provider Mailing Location
1003 7TH AVE STE A
KIRKLAND
WA
980335779
Provider Mailing Phone/Fax
| Phone: | 2062098666 |
| Fax: |