Provider Demographics
NPI:1265715866
Name:ROBINSON, ALAMA-ASWAD AYINDHE (AA)
Entity type:Individual
Prefix:MR
First Name:ALAMA-ASWAD
Middle Name:AYINDHE
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:AA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 PEPPER LANE
Mailing Address - Street 2:
Mailing Address - City:FERNLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89408
Mailing Address - Country:US
Mailing Address - Phone:775-575-6593
Mailing Address - Fax:
Practice Address - Street 1:1025 PEPPER LN
Practice Address - Street 2:
Practice Address - City:FERNLEY
Practice Address - State:NV
Practice Address - Zip Code:89408-5642
Practice Address - Country:US
Practice Address - Phone:775-575-6593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst