Healthcare Provider Details

I. General information

NPI: 1316488349
Provider Name (Legal Business Name): AMBITIONS BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2017
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 DEERWOOD RD STE 115
SAN RAMON CA
94583-4445
US

IV. Provider business mailing address

2372 MORSE AVE # 534
IRVINE CA
92614-6234
US

V. Phone/Fax

Practice location:
  • Phone: 949-325-4402
  • Fax:
Mailing address:
  • Phone: 408-373-6752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: BILLAL ASGHAR
Title or Position: CEO
Credential:
Phone: 949-325-4402