Aisha Ansari

Individual provider Active NPI Behavior Technician · San Bruno, CA

NPI 1376267161 · NPPES record last updated Sep 27, 2022

Key facts

NPI
1376267161
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
751 Camino PLZ
Suite a
San Bruno, CA 94066-3401
Phone
(303) 989-8169
NPI assigned
Sep 27, 2022
Sex
Female
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

751 Camino PLZ
Suite a
San Bruno, CA 94066-3401

Mailing address

751 Camino PLZ
Suite a
San Bruno, CA 94066-3401

Other providers in San Bruno, CA

All providers in San Bruno, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.