Mudhar Basim
Mudhar Basim is a Behavior Technician in Corona, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
255 E Rincon St Ste 219Corona, CA 92879-1387
Phone: (714) 834-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (CA) |
|---|
Record details
| NPI number | 1356094940 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 2, 2022 |
| Last updated in NPPES | February 2, 2022 |
| Certification date | February 2, 2022 |
| Mailing address | 29764 Gifhorn Ct, Menifee, CA 92584-8614 |
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Crystal Jazmin Barrientos
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Mr. Jesus Alberto Basurto
255 E Rincon St Ste 219, Corona, CA 92879-1387 · (714) 834-1111
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Ebony Bates
1295 Corona Pointe Ct Ste 102, Corona, CA 92879-1721 · (855) 223-7123
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Emonie D Beal
255 E Rincon St Ste 219, Corona, CA 92879-1387 · (951) 817-5328
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