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NPI Code Detail

MEDICARE: AHLAM MUSSA

MEDICARE:   AHLAM  MUSSA
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 : 1699608943
Entity Type Code : Individual
Provider Name (Legal Business Name) : AHLAM MUSSA
Provider Business Mailing Address
First Line : 51 PINNACLES CIR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95835-1270
Country : US
Telephone Number : 916-755-6977
Fax Number : 916-749-4520
Provider Business Practice Location Address
First Line : 2845 MARCONI AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-5264
Country : US
Telephone Number : 916-755-6977
Fax Number : 916-749-4520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ AHLAM MUSSA ” Practice Location

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