Healthcare Provider Details

I. General information

NPI: 1548051964
Provider Name (Legal Business Name): MAYSA RAJEH AMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11501 DUBLIN BLVD STE 200
DUBLIN CA
94568-2827
US

IV. Provider business mailing address

401 STARGELL AVE APT 11
ALAMEDA CA
94501-6564
US

V. Phone/Fax

Practice location:
  • Phone: 925-339-4599
  • Fax:
Mailing address:
  • Phone: 415-849-5054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: