Individual provider · NPI-1
Analibya Jaser Awad
Behavior Analyst · Moreno Valley, CA
NPI number1013630573
StatusActive
Last updated in NPPESSep 20, 2022
Details
- NPI
- 1013630573
- Entity type
- Individual (NPI-1)
- Name
- Analibya Jaser Awad
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2022
- Certification date
- Sep 20, 2022
- Last updated
- Sep 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
12125 Day St Ste E301Moreno Valley, CA 92557-6704
Phone 951-344-2166
Mailing address
8962 Oakridge CtRiverside, CA 92508-3095
Phone 951-455-7661
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