Individual
ADEENA ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 CONCORD AVE STE 185, CONCORD, CA 94520-4915
(509) 818-4943
Mailing address
2400 SHADY WILLOW LN UNIT 23F, BRENTWOOD, CA 94513-3729
(925) 966-5424
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/27/2024
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