Provider Demographics
NPI:1679114854
Name:DARWISH, FATMA (BCBA)
Entity Type:Individual
Prefix:
First Name:FATMA
Middle Name:
Last Name:DARWISH
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 1:67 MONTERREY AVE
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-3142
Mailing Address - Country:US
Mailing Address - Phone:504-401-3147
Mailing Address - Fax:504-667-6620
Practice Address - Street 1:67 MONTERREY AVE
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-3142
Practice Address - Country:US
Practice Address - Phone:504-401-3147
Practice Address - Fax:504-667-6620
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst