Individual
ALISON M KHADDOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8912 VOLUNTEER LN, SACRAMENTO, CA 95826-3221
(916) 344-0199
Mailing address
8912 VOLUNTEER LN, SACRAMENTO, CA 95826-3221
(916) 344-0199
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
02/06/2019
Last updated
05/26/2026
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