Individual
MAHMOUD IBRAHIM ALI SHEHATA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5333 MISSION CENTER RD STE 110, SAN DIEGO, CA 92108-1347
(855) 223-7123
Mailing address
4430 NORTH AVE APT 4, SAN DIEGO, CA 92116-3941
(845) 464-2798
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-22-14063
NY
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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