Provider Demographics
NPI:1568254563
Name:KHATER, RANDA (MA BCBA)
Entity type:Individual
Prefix:
First Name:RANDA
Middle Name:
Last Name:KHATER
Suffix:
Gender:F
Credentials:MA BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 CHURCH LN
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-3322
Mailing Address - Country:US
Mailing Address - Phone:862-782-6808
Mailing Address - Fax:
Practice Address - Street 1:209 CHURCH LN
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-3322
Practice Address - Country:US
Practice Address - Phone:862-782-6808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst