Provider Demographics
NPI:1659180834
Name:IRSHAID, FATIMAH (SPECIAL EDUCATOR)
Entity type:Individual
Prefix:
First Name:FATIMAH
Middle Name:
Last Name:IRSHAID
Suffix:
Gender:F
Credentials:SPECIAL EDUCATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 BURGESS PL
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-4101
Mailing Address - Country:US
Mailing Address - Phone:908-323-9790
Mailing Address - Fax:
Practice Address - Street 1:271 BURGESS PL
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-4101
Practice Address - Country:US
Practice Address - Phone:908-323-9790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst