Provider Demographics
NPI:1447946850
Name:MOHAMMED, SHARMILA S
Entity type:Individual
Prefix:
First Name:SHARMILA
Middle Name:S
Last Name:MOHAMMED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 LIBERTY LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:07416-2158
Mailing Address - Country:US
Mailing Address - Phone:347-707-2402
Mailing Address - Fax:
Practice Address - Street 1:160 MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NJ
Practice Address - Zip Code:07419-9649
Practice Address - Country:US
Practice Address - Phone:347-707-2402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst