Azwanina Shahizan Binti Azham Shah
Azwanina Shahizan Binti Azham Shah is a Behavior Technician in Lafayette, Indiana. Licensed in Indiana. Registered with an NPI since 2020.
- Licensed in
- IN
- In the registry since
- 2020
Practice location Address checks out
3781 Bayley Dr Ste BLafayette, IN 47905-8657
Phone: (765) 201-4767
Fax: (317) 520-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-18-50946 (IN) |
|---|
Record details
| NPI number | 1952927030 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 24, 2020 |
| Last updated in NPPES | June 24, 2020 |
| Certification date | June 24, 2020 |
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