Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amde-Michael Justin Habte Jr., SUDRC

Individual provider Behavior Technician · NPI 1184470619

Amde-Michael Justin Habte Jr., SUDRC is a Behavior Technician in Los Angeles, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1045 E 20th St
Los Angeles, CA 90011-1107
Phone: (213) 205-8221
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 17048 (CA)

Record details

NPI number1184470619
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDRC
Sole proprietorNo
NPI enumeratedApril 25, 2024
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

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