Martin Khairullah
NPI #1184475048 in Highland, California
Provider Information
- NPI Number
- 1184475048
- Entity Type
- Individual
- Name
- Martin Khairullah
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Mar 28, 2024
- Last Updated
- Mar 28, 2024
Practice Location
- Address
- 28612 NEWCASTLE RD
- City
- Highland
- State
- California
- ZIP Code
- 92346-5722
- Phone
- (909) 808-9806
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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