Provider Demographics
NPI:1073387890
Name:MOHAMMED, ALEEZA (BCBA)
Entity Type:Individual
Prefix:
First Name:ALEEZA
Middle Name:
Last Name:MOHAMMED
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7649 ROCKYRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-8913
Mailing Address - Country:US
Mailing Address - Phone:469-867-7892
Mailing Address - Fax:
Practice Address - Street 1:7649 ROCKYRIDGE DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-8913
Practice Address - Country:US
Practice Address - Phone:469-867-7892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst