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Individual

AHMON JAMAL MEADOWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
600 N ARROWHEAD AVE, SAN BERNARDINO, CA 92401-1164
(909) 963-5355
Mailing address
600 N ARROWHEAD AVE, SAN BERNARDINO, CA 92401-1164
(909) 963-5355

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
103K00000X
Behavior Analyst
1356548671
CA
171M00000X
Case Manager/Care Coordinator
1356548671
CA

Other

Enumeration date
06/29/2007
Last updated
04/20/2020
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