Individual
FADUMO ALI ADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIORALSPECIALIST
Contact information
Practice address
1715 114TH AVE SE STE 219, BELLEVUE, WA 98004-6906
(877) 910-6538
Mailing address
1200 CONCORD AVE STE 100, CONCORD, CA 94520-4969
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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