Active NPIIndividual provider

Mr. Keirollous Fahim

Behavior Analyst in Staten Island, New York

NPI Number1659010098
Practice location
11 Governor RD, Staten Island, NY 10314-3019
Fax
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Last updated
June 2, 2022

Keirollous Fahim is a Behavior Analyst based in Staten Island, NY. Keirollous Fahim practices in Staten Island, NY. The NPI Number for Keirollous Fahim is 1659010098. The current practice location address for Keirollous Fahim is 11 Governor RD, Staten Island, NY 10314-3019 and can be reached out via phone at 718-702-6729.

Provider Profile Details

NPI Number
1659010098
Provider Name
Keirollous Fahim
Provider Entity Type
Individual
Gender
Male
Address
11 Governor RD, Staten Island, NY 10314-3019
Phone Number
718-702-6729
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
June 2, 2022
Last Update Date
June 2, 2022
Certification Date
June 2, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Governor RD
Staten Island, NY 10314-3019
Zip
10314-3019
Phone Number
718-702-6729
Staten Island, NY 10314Get directions →

Provider Business Mailing Address Details

Address
11 Governor RD
Staten Island, NY 10314-3019
City
Staten Island
State
NY
Zip
10314-3019
Phone Number
718-702-6729

License Information

Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Keirollous Fahim?

The NPI number of Mr. Keirollous Fahim is 1659010098. It was assigned on June 2, 2022 and is currently active in the NPPES registry.

What is the specialty of Mr. Keirollous Fahim?

Mr. Keirollous Fahim is registered under the primary taxonomy Behavior Analyst (code 103K00000X).

Where does Mr. Keirollous Fahim practice?

The practice location is 11 Governor RD, Staten Island, NY 10314-3019. The office can be reached at 718-702-6729 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659010098 directly on the NPPES registry website.

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