Provider Demographics
NPI:1396397667
Name:D. SHEIBANEE, BAHIJAH
Entity Type:Individual
Prefix:
First Name:BAHIJAH
Middle Name:
Last Name:D. SHEIBANEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:663 BOUND BROOK RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NJ
Mailing Address - Zip Code:08846-2108
Mailing Address - Country:US
Mailing Address - Phone:954-305-7252
Mailing Address - Fax:
Practice Address - Street 1:663 BOUND BROOK RD
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NJ
Practice Address - Zip Code:08846-2108
Practice Address - Country:US
Practice Address - Phone:954-305-7252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst