Moneeb Mazhar
Behavior Technician in Newark, CA. Individual provider (NPI-1).
NPI number1093590366
StatusActive
Last updated in NPPESAug 25, 2023
Details
- NPI
- 1093590366
- Entity type
- Individual (NPI-1)
- Name
- Moneeb Mazhar
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2023
- Certification date
- Aug 25, 2023
- Last updated
- Aug 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
39899 Balentine Dr Ste 110Newark, CA 94560-5356
Phone 855-223-7123 · Fax 619-374-7134
Mailing address
Po Box 33568San Diego, CA 92163-3568
Phone 855-223-7123 · Fax 619-374-7134
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