Provider Demographics
NPI:1003543836
Name:ABID, FAIQUE
Entity Type:Individual
Prefix:
First Name:FAIQUE
Middle Name:
Last Name:ABID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 ROLLING GREEN DR APT G
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-7866
Mailing Address - Country:US
Mailing Address - Phone:774-488-0206
Mailing Address - Fax:
Practice Address - Street 1:41 ROLLING GREEN DR APT G
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-7866
Practice Address - Country:US
Practice Address - Phone:774-488-0206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician