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NPI Code Detail

MEDICARE: MISS OROOJ ANSA WAJAHAT

MEDICARE: MISS OROOJ ANSA WAJAHAT
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
1103K00000XBehavior Analyst
2106S00000XBehavior TechnicianRBT-18-54870CA

General Provider Information

NPI Number : 1093260069
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS OROOJ ANSA WAJAHAT
Provider Business Mailing Address
First Line : PO BOX 33568
Second Line :
City : SAN DIEGO
State : CA
Zip : 92163-3568
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 20900 CORSAIR BLVD STE B
Second Line :
City : HAYWARD
State : CA
Zip : 94545-1002
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2016
Last Update Date : 09/20/2024

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Directions to “ MISS OROOJ ANSA WAJAHAT ” Practice Location

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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.

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