Provider Demographics
NPI:1093579880
Name:ALSULAIMAN, ROAA (MS)
Entity Type:Individual
Prefix:
First Name:ROAA
Middle Name:
Last Name:ALSULAIMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4633 HAFEELA DR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-1452
Mailing Address - Country:US
Mailing Address - Phone:972-357-6578
Mailing Address - Fax:
Practice Address - Street 1:4633 HAFEELA DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-1452
Practice Address - Country:US
Practice Address - Phone:972-357-6578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty