Individual
FATIMEH EID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 CHADBOURNE RD, FAIRFIELD, CA 94534-9639
(510) 317-1444
Mailing address
480 CHADBOURNE RD, FAIRFIELD, CA 94534-9639
(866) 727-8274
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
05/06/2025
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