Individual
AMREEN ANAM JEHTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
7090 MIRATECH DR, SAN DIEGO, CA 92121-3109
(858) 304-6440
Mailing address
7090 MIRATECH DR, SAN DIEGO, CA 92121-3109
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37538
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106S00000X
—
CA
Enumeration date
11/05/2018
Last updated
05/20/2025
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