Mesbah Islam

NPI #1003521337 in Garden Grove, California

Provider Information

NPI Number: 1003521337
Entity Type: Individual
Name: Mesbah Islam
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 20, 2023
Last Updated: Jan 20, 2023

Practice Location

Address: 12465 LEWIS ST STE 102
City: Garden Grove
State: California
ZIP Code: 92840-4658
Phone: (855) 223-7123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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