Individual
MINA FAHMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 E RINCON ST STE 219, CORONA, CA 92879-1387
(909) 817-5328
Mailing address
255 E RINCON ST STE 219, CORONA, CA 92879-1387
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/24/2020
Last updated
08/10/2021
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