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NPI Code Detail

MEDICARE: JUANA AHMAD

MEDICARE: JUANA AHMAD
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

General Provider Information

NPI Number : 1962346478
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUANA AHMAD
Provider Business Mailing Address
First Line : 216 N BASQUE AVE
Second Line :
City : FULLERTON
State : CA
Zip : 92833-2703
Country : US
Telephone Number : 714-830-9128
Fax Number :
Provider Business Practice Location Address
First Line : 1063 MCGAW AVE
Second Line :
City : IRVINE
State : CA
Zip : 92614-5505
Country : US
Telephone Number : 714-363-8254
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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Directions to “ JUANA AHMAD ” Practice Location

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