Provider Demographics
NPI:1073063350
Name:DINAR, ALHADI (BEHAVIOR SPECIALIST)
Entity Type:Individual
Prefix:
First Name:ALHADI
Middle Name:
Last Name:DINAR
Suffix:
Gender:M
Credentials:BEHAVIOR SPECIALIST
Other - Prefix:
Other - First Name:ALHADI
Other - Middle Name:
Other - Last Name:DINAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSC
Mailing Address - Street 1:6841 KINDRED ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-2220
Mailing Address - Country:US
Mailing Address - Phone:267-252-4306
Mailing Address - Fax:
Practice Address - Street 1:6841 KINDRED ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-2220
Practice Address - Country:US
Practice Address - Phone:267-252-4306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 103K00000X
PA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101Y00000XBehavioral Health & Social Service ProvidersCounselor