Individual
ADAM BOU HAMDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17462 COLIMA RD, ROWLAND HEIGHTS, CA 91748-1633
(855) 223-7123
(619) 374-7134
Mailing address
PO BOX 33568, SAN DIEGO, CA 92163-3568
(855) 223-7123
(619) 374-7134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/27/2022
Last updated
03/03/2026
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