MEDICARE: LADAN BAHRAMNIA LPCC

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	101YP2500X	Professional Counselor	21972	CA
2	106S00000X	Behavior Technician	RBT-17-43293	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1743293	OTHER		BACB

General Provider Information

NPI Number	:	1760519839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LADAN BAHRAMNIA LPCC

Provider Business Mailing Address
First Line	:	3724 COWELL RD
Second Line	:
City	:	CONCORD
State	:	CA
Zip	:	94518-1605
Country	:	US
Telephone Number	:	925-899-6831
Fax Number	:

Provider Business Practice Location Address
First Line	:	3724 COWELL RD
Second Line	:
City	:	CONCORD
State	:	CA
Zip	:	94518-1605
Country	:	US
Telephone Number	:	925-899-6831
Fax Number	:

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

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	03/26/2026

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