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

Mrs. Khady Fall

Individual provider Rehabilitation Practitioner · NPI 1104443407

Mrs. Khady Fall is a Rehabilitation Practitioner in San Jose, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1887 Monterey Rd Ste 205
San Jose, CA 95112
Phone: (408) 961-4040
Fax: (402) 292-3640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence PT36947 (CA)
Rehabilitation Practitioner Taxonomy 225400000X (CA)

Record details

NPI number1104443407
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2020
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025

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