Safia Osman Ibrahim
Behavior Technician in San Jose, CA. Individual provider (NPI-1).
NPI number1982240974
StatusActive
Last updated in NPPESFeb 24, 2021
Details
- NPI
- 1982240974
- Entity type
- Individual (NPI-1)
- Name
- Safia Osman Ibrahim
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 25, 2019
- Certification date
- Feb 24, 2021
- Last updated
- Feb 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 103T00000X | Psychologist | – | – |
Practice location
1887 Monterey Hwy Ste 225San Jose, CA 95112-6192
Phone 408-706-6855 · Fax 866-500-2186
Mailing address
16782 Von Karman Ave Ste 11Irvine, CA 92606-2417
Phone 619-550-6368 · Fax 866-500-2186
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