Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khalidah Malikah Agnew

Individual provider Behavior Technician · NPI 1306612924

Khalidah Malikah Agnew is a Behavior Technician in Oak Lawn, Illinois. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

5540 W 111th St
Oak Lawn, IL 60453-5574
Phone: (708) 634-0821
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1306612924
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 27, 2023
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023

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