Khadijah Al-Faraj, BCBA
Behavior Analyst in Stockton, CA. Individual provider (NPI-1).
NPI number1285075440
StatusActive
Last updated in NPPESJul 16, 2013
Details
- NPI
- 1285075440
- Entity type
- Individual (NPI-1)
- Name
- Khadijah Al-Faraj
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2013
- Last updated
- Jul 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-13-13495 | CA | Yes |
Practice location
3244 Brookside Rd Ste 140Stockton, CA 95219-2359
Phone 209-521-4791 · Fax 209-521-4794
Mailing address
3244 Brookside Rd Ste 140Stockton, CA 95219-2359
Phone 209-521-4791 · Fax 209-521-4794
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