Individual
AHMAD MOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 91016-5239
(818) 241-6780
Mailing address
1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 91016-5239
(714) 310-8717
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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