Nasirullah Ismatullah

NPI #1063129138 in Newark, California

Provider Information

NPI Number: 1063129138
Entity Type: Individual
Name: Nasirullah Ismatullah
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 28, 2022
Last Updated: Oct 28, 2022

Practice Location

Address: 39899 BALENTINE DR STE 128
City: Newark
State: California
ZIP Code: 94560-5361
Phone: (650) 931-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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