Provider Demographics
NPI:1710708003
Name:HAMMAD, HADEEL (MADS, BCBA)
Entity type:Individual
Prefix:
First Name:HADEEL
Middle Name:
Last Name:HAMMAD
Suffix:
Gender:F
Credentials:MADS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3424 HARVEST BOUNTY DR APT 2308
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1176
Mailing Address - Country:US
Mailing Address - Phone:647-965-7600
Mailing Address - Fax:
Practice Address - Street 1:8727 GRAND MISSION BLVD STE 800
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-5423
Practice Address - Country:US
Practice Address - Phone:281-697-7722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-24-76585103K00000X
TXBACB757637103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst