Individual
AHMED ANTAR AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1590 PARK AVE, LONG BEACH, CA 90815-3823
(831) 750-4112
Mailing address
1590 PARK AVE, LONG BEACH, CA 90815-3823
(831) 750-4112
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62548
CA
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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