Ikhlas Beyah

NPI #1003623083 in El Segundo, California

Provider Information

NPI Number: 1003623083
Entity Type: Individual
Name: Ikhlas Beyah
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 13, 2024
Last Updated: Dec 13, 2024

Practice Location

Address: 100 N PACIFIC COAST HWY STE 1400
City: El Segundo
State: California
ZIP Code: 90245-5602
Phone: (424) 210-9148

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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