Rayyan Adam
Individual provider Active NPI Behavior Technician · Modesto, CA
NPI 1194433573 · NPPES record last updated Nov 14, 2022
Key facts
- NPI
- 1194433573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1101 Standiford Ave Ste A1
Modesto, CA 95350-0981 - Phone
- (855) 223-7123
- Fax
- (619) 374-7134
- NPI assigned
- Nov 14, 2022
- 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
1101 Standiford Ave Ste A1
Modesto, CA 95350-0981
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (855) 223-7123
Other providers in Modesto, CA
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- Corey Robert Acree
- Kiaya Acuna
- Faith Evelyn Adair
- Michelle Adam
- Viky Adame de Leon
- Mayra J Adame
- Krista Adametz
- Angela L Adams
- Fred Adams
All providers in Modesto, 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 Nov 14, 2022. 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.