Individual
MR. ABDUL AKTHAR AHAMATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
290 S PROSPECT AVE STE A, TUSTIN, CA 92780-1523
(415) 646-6223
Mailing address
1513 S HAMPSTEAD ST APT B, ANAHEIM, CA 92802-2548
(657) 272-3207
(657) 272-3207
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
W9193386
CA
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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