Individual
AALIYAH HAZEL ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1451 KINGSWOOD DR, ROSEVILLE, CA 95678-1133
(916) 284-5521
Mailing address
1451 KINGSWOOD DR, ROSEVILLE, CA 95678-1133
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94012630E39127
MEDI CAL
CA
Enumeration date
05/15/2023
Last updated
05/15/2023
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