Most Relevant Information
Provider Data
| NPI Number: | 1003690942 |
| Provider Name: | FATHIMA BUSHRA ANSAR |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/22/2023 |
| Last Updated: | 03/27/2024 |
Provider Practice Location
267 MILLFORD LN
BLOOMINGDALE
IL
601081520
Practice Location Phone/Fax
| Phone: | 7735590059 |
| Fax: |
Provider Mailing Location
267 MILLFORD LN
BLOOMINGDALE
IL
601081520
Provider Mailing Phone/Fax
| Phone: | 7745590059 |
| Fax: |