Provider Demographics
NPI:1841088671
Name:BITAR, AYSHEH (BCBA)
Entity type:Individual
Prefix:MRS
First Name:AYSHEH
Middle Name:
Last Name:BITAR
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 1:1660 FAIRWAY RD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-3218
Mailing Address - Country:US
Mailing Address - Phone:561-696-6561
Mailing Address - Fax:561-696-6561
Practice Address - Street 1:1660 FAIRWAY RD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-3218
Practice Address - Country:US
Practice Address - Phone:561-696-6561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1-20-45854103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst