| Fight4life Incorporated | |
|
4411 S 40th St Phoenix AZ 85040-2950 | |
| (480) 744-3166 | |
| Not Available |
| Full Name | Fight4life Incorporated |
|---|---|
| Speciality | Behavior Technician |
| Location | 4411 S 40th St, Phoenix, Arizona |
| Authorized Official Name and Position | Qaadir'naqib Muhammad (MANAGER) |
| Authorized Official Contact | 5202527159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fight4life Incorporated 1502 E Osborn Rd Apt 125 Phoenix AZ 85014-5317 Ph: (520) 252-7159 | Fight4life Incorporated 4411 S 40th St Phoenix AZ 85040-2950 Ph: (480) 744-3166 |
| NPI Number | 1063050177 |
|---|---|
| Provider Enumeration Date | 12/19/2019 |
| Last Update Date | 12/19/2019 |
| Certification Date | 12/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063050177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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