Provider Demographics
NPI:1275341687
Name:PAUL, AIRA
Entity type:Individual
Prefix:
First Name:AIRA
Middle Name:
Last Name:PAUL
Suffix:
Gender:U
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1889 N RICE AVE
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-7270
Mailing Address - Country:US
Mailing Address - Phone:805-398-0682
Mailing Address - Fax:
Practice Address - Street 1:1889 N RICE AVE STE 102
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-7986
Practice Address - Country:US
Practice Address - Phone:805-398-0682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-19
Last Update Date:2024-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst