| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHAHISTA RAHMAN | 1972380160 | 2023-09-11 |
Shahista Rahman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1972380160. Registration indicates Shahista Rahman is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Shahista Rahman |
| Practice Office Address | 5850 GRANITE PKWY STE 600 PLANO, TX US |
| Practice Office Telephone | 3318260226 |
| Mailing Address | 5850 GRANITE PKWY STE 600 PLANO, TX 750246753 US |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |