Madeleine Aahl

Individual provider Active NPI Behavior Technician · San Leandro, CA

NPI 1386288140 · NPPES record last updated Nov 4, 2019

Key facts

NPI
1386288140
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1880 Fairway Dr
San Leandro, CA 94577-5629
Phone
(916) 729-3098
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
Yes

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

1880 Fairway Dr
San Leandro, CA 94577-5629

Mailing address

1880 Fairway Dr
San Leandro, CA 94577-5629
Phone (916) 729-3098

Other providers in San Leandro, CA

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

Sources for this page

Verify at the official NPI Registry.