Individual
AHMAD WALAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 H ST STE L, PETALUMA, CA 94952-5100
(866) 206-2008
(866) 317-1665
Mailing address
4900 CANADA VALLEY RD APT 206, ANTIOCH, CA 94531-9005
(925) 437-0744
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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