MEDICARE: EMAN HASSAN

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	106E00000X	Assistant Behavior Analyst	1-26-87611	CA
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1013504398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMAN HASSAN

Provider Business Mailing Address
First Line	:	1649 61ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-2746
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 EXCISE AVE
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91761-8554
Country	:	US
Telephone Number	:	818-241-6780
Fax Number	:

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

Provider Enumeration Date	:	12/21/2020
Last Update Date	:	02/23/2026

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Directions to “ EMAN HASSAN ” Practice Location

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