Individual provider · NPI-1
Ammarah Desir Abdul -Raheem
Behavior Technician · Walnut Creek, CA
NPI number1780490813
StatusActive
Last updated in NPPESDec 4, 2024
Details
- NPI
- 1780490813
- Entity type
- Individual (NPI-1)
- Name
- Ammarah Desir Abdul -Raheem
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2024
- Certification date
- Dec 4, 2024
- Last updated
- Dec 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
313 Lennon Ln Ste 100Walnut Creek, CA 94598-2460
Phone 925-465-1585
Mailing address
313 Lennon Ln Ste 100Walnut Creek, CA 94598-2460
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