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NPI Code Detail

MEDICARE: ADIL SAYED HUSSAIN

MEDICARE: ADIL SAYED HUSSAIN
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1013408921
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADIL SAYED HUSSAIN
Provider Business Mailing Address
First Line : 245 CAROUSEL DR
Second Line :
City : VALLEJO
State : CA
Zip : 94589-4329
Country : US
Telephone Number : 707-704-8414
Fax Number :
Provider Business Practice Location Address
First Line : 150 GLEN COVE MARINA RD E STE 102
Second Line :
City : VALLEJO
State : CA
Zip : 94591-7237
Country : US
Telephone Number : 510-268-8120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2018
Last Update Date : 05/25/2018

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Directions to “ ADIL SAYED HUSSAIN ” Practice Location

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