Ambica Selvaraj
Student in an Organized Health Care Education/Training Program in San Jose, CA. Individual provider (NPI-1).
NPI number1033763172
StatusActive
Last updated in NPPESFeb 2, 2024
Details
- NPI
- 1033763172
- Entity type
- Individual (NPI-1)
- Name
- Ambica Selvaraj
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 26, 2019
- Certification date
- Feb 2, 2024
- Last updated
- Feb 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
101 Jose Figueres AvenueSte 50
San Jose, CA 95116-2022
Phone 408-207-0560 · Fax 408-642-6052
Mailing address
1922 The Alameda Ste 316San Jose, CA 95126-1461
Phone 408-261-7777 · Fax 408-642-6052
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All 680 Student in an Organized Health Care Education/Training Program providers in San Jose · All 25,183 providers in San Jose
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