Giddens, Malik Yusef

Giddens, Malik Yusef is an individual health care provider with primary practice located at 343 Fountains Pkwy , Fairview Heights IL 62208-2170. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Giddens, Malik Yusef can be contacted via phone (618) 515-1441.

Contact Information

Primary practice address
343 Fountains Pkwy Fairview Heights IL 62208-2170
Phone: (618) 515-1441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X BACB648327

Profile Details

NPI number 1174111884
LBN Legal business name Giddens, Malik Yusef
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2021
Last updated Jan 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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