Al-Faraj, Khadijah

Al-Faraj, Khadijah is an individual health care provider with primary practice located at 3244 Brookside Rd Ste 140 , Stockton CA 95219-2359. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Al-Faraj, Khadijah can be contacted via phone (209) 521-4791.

Contact Information

Primary practice address
3244 Brookside Rd Ste 140 Stockton CA 95219-2359
Phone: (209) 521-4791
Fax: (209) 521-4794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-13-13495 California

Profile Details

NPI number 1285075440
LBN Legal business name Al-Faraj, Khadijah
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2013
Last updated Jul 16th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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