Individual
AHMAD HATTAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3002 DOW AVE STE 206, TUSTIN, CA 92780-7234
(210) 845-4453
Mailing address
3002 DOW AVE STE 206, TUSTIN, CA 92780-7234
(210) 845-4453
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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