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NPI Code Detail

MEDICARE: IMANI MALIK BELL

MEDICARE: IMANI MALIK BELL
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 : 1588596225
Entity Type Code : Individual
Provider Name (Legal Business Name) : IMANI MALIK BELL
Provider Business Mailing Address
First Line : 64 EL TORO CT
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-2233
Country : US
Telephone Number : 510-290-8002
Fax Number :
Provider Business Practice Location Address
First Line : 161 BUTCHER RD
Second Line :
City : VACAVILLE
State : CA
Zip : 95687-5685
Country : US
Telephone Number : 707-908-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “ IMANI MALIK BELL ” Practice Location

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