Individual
AMENAGHAWON AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 TUPELO DR, CITRUS HEIGHTS, CA 95621-1741
(916) 729-3098
Mailing address
6400 TUPELO DR, CITRUS HEIGHTS, CA 95621-1741
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-15-6672
CA
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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