Individual
ADIL KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 H ST STE L, PETALUMA, CA 94952-5100
(866) 206-2008
(866) 317-1665
Mailing address
33158 GREAT SALT LAKE DR, FREMONT, CA 94555-1208
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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