Sohaib Hassan
Behavior Technician in Petaluma, CA. Individual provider (NPI-1).
NPI number1982169066
StatusActive
Last updated in NPPESFeb 4, 2019
Details
- NPI
- 1982169066
- Entity type
- Individual (NPI-1)
- Name
- Sohaib Hassan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2019
- Last updated
- Feb 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
101 H StPetaluma, CA 94952-5152
Phone 886-206-2008 · Fax 866-317-1665
Mailing address
4960 Dexter CtMerced, CA 95348-8567
Phone 619-770-8316
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