MEDICARE: BEHNOOSH BAHRAMI

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
1	106S00000X	Behavior Technician		CA

General Provider Information

NPI Number	:	1003773151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEHNOOSH BAHRAMI

Provider Business Mailing Address
First Line	:	4884 SAN PABLO DAM RD APT A
Second Line	:
City	:	EL SOBRANTE
State	:	CA
Zip	:	94803-3206
Country	:	US
Telephone Number	:	510-847-8540
Fax Number	:

Provider Business Practice Location Address
First Line	:	1660 SAN PABLO AVE
Second Line	:
City	:	PINOLE
State	:	CA
Zip	:	94564-2077
Country	:	US
Telephone Number	:	510-779-2334
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

Similar Medicare Providers

1184649196 — DAVID WALTER TAM O.D.
Practice Location Address:

1660 SAN PABLO AVE , STE 200
PINOLE, CA
94564-2077

Practice Phone: 510-964-7816
Practice Fax: 510-964-7831

1043384191 — HANGER PROSTHETICS & ORTHOTICS WEST INC
Practice Location Address:

1660 SAN PABLO AVE
PINOLE, CA
94564-2077

Practice Phone: 510-724-0400
Practice Fax:

1467024265 — NATURAL BEHAVIORAL SOLUTIONS, LLC
Practice Location Address:

1660 SAN PABLO AVE STE E
PINOLE, CA
94564-2077

Practice Phone: 510-779-2334
Practice Fax:

1366254294 — DESTTANY R PARKER
Practice Location Address:

1660 SAN PABLO AVE
PINOLE, CA
94564-2077

Practice Phone: 510-779-2334
Practice Fax:

1518850551 — YANI TREVINO
Practice Location Address:

1660 SAN PABLO AVE STE E
PINOLE, CA
94564-2077

Practice Phone: 559-400-9268
Practice Fax:

1902782410 — SELU NEMBANG
Practice Location Address:

1660 SAN PABLO AVE STE E
PINOLE, CA
94564-2077

Practice Phone: 510-779-2334
Practice Fax:

Directions to “ BEHNOOSH BAHRAMI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.