Provider Demographics
NPI:1629816442
Name:AHMAD, MAHA (BCBA)
Entity type:Individual
Prefix:
First Name:MAHA
Middle Name:
Last Name:AHMAD
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 1:4800 WATTS PLANTATION DR APT 13102
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5557
Mailing Address - Country:US
Mailing Address - Phone:832-873-4249
Mailing Address - Fax:
Practice Address - Street 1:903 GREATWOOD GLEN DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6178
Practice Address - Country:US
Practice Address - Phone:832-712-3233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-20-41257103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst