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NPI Code Detail

MEDICARE: NAOMI HOSSAIN

MEDICARE: NAOMI HOSSAIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1356006928
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAOMI HOSSAIN
Provider Business Mailing Address
First Line : 2670 N RIVER TRAIL RD
Second Line :
City : ORANGE
State : CA
Zip : 92865-2013
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1901 E 4TH ST STE 350
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-3908
Country : US
Telephone Number : 714-486-0940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2021
Last Update Date : 11/08/2021

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Directions to “ NAOMI HOSSAIN ” Practice Location

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