Individual
ADAM MARWAN TAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
713 W COMMONWEALTH AVE, FULLERTON, CA 92832-1612
(833) 879-4274
Mailing address
713 W COMMONWEALTH AVE, FULLERTON, CA 92832-1612
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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