Individual
ABDALLAH HUSSEIN AL THAHABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11731 WINDCREST LN, SAN DIEGO, CA 92128
(630) 785-0703
Mailing address
11731 WINDCREST LN, SAN DIEGO, CA 92128
(630) 785-0703
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-163026
CA
Other
Enumeration date
04/10/2021
Last updated
04/10/2021
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