Provider Demographics
NPI:1811612153
Name:ALRIFAI, ALAA
Entity type:Individual
Prefix:
First Name:ALAA
Middle Name:
Last Name:ALRIFAI
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 1:4555 S HARVARD AVE STE B
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-2947
Mailing Address - Country:US
Mailing Address - Phone:539-867-1578
Mailing Address - Fax:
Practice Address - Street 1:4555 S HARVARD AVE STE B
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2947
Practice Address - Country:US
Practice Address - Phone:539-867-1578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst