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-- KHADIJAH AL-FARAJ -- BCBA

Individual Provider (NPI-1) Active

Behavior Analyst

Provider Information

NPI Number
1285075440
Provider Type
Individual Provider (NPI-1)
Credentials
BCBA
Status
Active

Contact & Location

Address
3244 BROOKSIDE RD STE 140, STOCKTON, CA, 952192359
Phone
(209) 521-4791
Fax
(209) 521-4794

Specialties & Taxonomies

Behavior Analyst Primary License: CA #1-13-13495

All Addresses

MAILING

3244 BROOKSIDE RD STE 140

STOCKTON, CA, 952192359

(209) 521-4791

LOCATION

3244 BROOKSIDE RD STE 140

STOCKTON, CA, 952192359

(209) 521-4791