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

Maryam Ghazzali

Individual provider Behavior Technician · NPI 1154005023

Maryam Ghazzali is a Behavior Technician in Fremont, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

39210 State St Ste 220
Fremont, CA 94538-1456
Phone: (510) 894-4135
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 46-1305562 (CA)

Record details

NPI number1154005023
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2023
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023

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