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NPI Code Detail

MEDICARE: STRAUSS LEE ABDUL-RAHMAN BCBA

MEDICARE: STRAUSS LEE ABDUL-RAHMAN BCBA
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 AnalystNV

General Provider Information

NPI Number : 1881284842
Entity Type Code : Individual
Provider Name (Legal Business Name) : STRAUSS LEE ABDUL-RAHMAN BCBA
Provider Business Mailing Address
First Line : 473 E. CARNEGIE DRIVE
Second Line : SUITE 200
City : SAN BERNARDINO
State : CA
Zip : 92408
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 S FREMONT AVE UNIT 85
Second Line :
City : ALHAMBRA
State : CA
Zip : 91803-8822
Country : US
Telephone Number : 725-231-0768
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2021
Last Update Date : 12/01/2021

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