Provider Demographics
NPI:1154005866
Name:AMAN BEHAVIORAL AGENCY LLC
Entity type:Organization
Organization Name:AMAN BEHAVIORAL AGENCY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:SALEENA
Authorized Official - Middle Name:ABUBAKKAR
Authorized Official - Last Name:MOHAMMAD HUSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:669-261-2600
Mailing Address - Street 1:471 MILL RIVER LN
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-2417
Mailing Address - Country:US
Mailing Address - Phone:669-261-2600
Mailing Address - Fax:
Practice Address - Street 1:471 MILL RIVER LN
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-2417
Practice Address - Country:US
Practice Address - Phone:669-261-2600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-13
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty