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

Nasirullah Ismatullah

Individual provider Behavior Technician · NPI 1063129138

Nasirullah Ismatullah is a Behavior Technician in Newark, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

39899 Balentine Dr Ste 128
Newark, CA 94560-5361
Phone: (650) 931-6300
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1063129138
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 28, 2022
Last updated in NPPESOctober 28, 2022
Certification dateOctober 28, 2022
Mailing address39899 Balentine Dr Ste 128, Newark, CA 94560-5361

Other providers in Newark