Hassan Ali Elreda

Individual provider Active NPI Behavior Technician · Covina, CA

NPI 1548062151 · NPPES record last updated Mar 25, 2025

Key facts

NPI
1548062151
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1274 Center Court Drive Suite 211
Covina, CA 91724
Phone
(626) 339-4999
NPI assigned
Mar 25, 2025
Sex
Male
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

1274 Center Court Drive Suite 211
Covina, CA 91724

Mailing address

6826 Gifford Ave
Bell, CA 90201-3432
Phone (323) 717-9547

Other providers in Covina, CA

All providers in Covina, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.