Provider Demographics
NPI:1659036184
Name:ABBASI, MAHA (RBT)
Entity Type:Individual
Prefix:MS
First Name:MAHA
Middle Name:
Last Name:ABBASI
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1064 EMIL PL
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6450
Mailing Address - Country:US
Mailing Address - Phone:224-253-8790
Mailing Address - Fax:
Practice Address - Street 1:1064 EMIL PL
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6450
Practice Address - Country:US
Practice Address - Phone:224-253-8790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-31
Last Update Date:2021-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-21-187397106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician