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Contact Information

KAJA V ANAS ILEMAM
31889 CALLE LUZ
TEMECULA, CA92592-3926
 Phone: 855-832-6727
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Technician

106S00000X
 

Technician, Other

247200000X 75 Slide Preparation Facility
Indicates primary specialty

NPI Profile & details for KAJA V ANAS ILEMAM · (Female)

NPI Number 1700478559
Status Active
Credentials
Entity Individual
Enumeration date 02/03/2021
Last updated 03/29/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # RBT-21-161820
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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