Provider Demographics
NPI:1770098675
Name:ABUBAKAR, JAMILATU BARBRA
Entity type:Individual
Prefix:
First Name:JAMILATU
Middle Name:BARBRA
Last Name:ABUBAKAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 NORWELL ST APT 3
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02121-2110
Mailing Address - Country:US
Mailing Address - Phone:857-312-8603
Mailing Address - Fax:
Practice Address - Street 1:12 NORWELL ST APT 3
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02121-2110
Practice Address - Country:US
Practice Address - Phone:857-312-8603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-13
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician