Justin Ahn
Individual provider Active NPI Behavior Technician · Hayward, CA
NPI 1154912434 · NPPES record last updated Jan 29, 2021
Key facts
- NPI
- 1154912434
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1180 B St
Hayward, CA 94541-4202 - Phone
- (855) 223-7123
- NPI assigned
- Jan 29, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1180 B St
Hayward, CA 94541-4202
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (619) 550-6368
Other providers in Hayward, CA
- Sophia Ahlstrand
- Grishma Manmohan Ahluwalia
- Haroon Ahmed
- Yahya Ahmed
- Elaine Jaekyung Ahn
- Sharleen Ahn
- Aic Health Care, Inc.
- Aic Health Care, Inc.
- Dominic Aiello
- Isoken Aigbuza
All providers in Hayward, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.