Provider Demographics
NPI:1760378707
Name:ABDALLAH, SAIYDAH (RBT)
Entity type:Individual
Prefix:
First Name:SAIYDAH
Middle Name:
Last Name:ABDALLAH
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 1:2703 BUTLER ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17103-2032
Mailing Address - Country:US
Mailing Address - Phone:717-590-9805
Mailing Address - Fax:
Practice Address - Street 1:2703 BUTLER ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17103-2032
Practice Address - Country:US
Practice Address - Phone:717-590-9805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARBT-25-416007106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty