Provider Demographics
NPI:1720883309
Name:SHWAIKA, ABLAH RAJAA
Entity type:Individual
Prefix:
First Name:ABLAH
Middle Name:RAJAA
Last Name:SHWAIKA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3824 BUELL ST SUITE A2
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-2861
Mailing Address - Country:US
Mailing Address - Phone:510-442-3959
Mailing Address - Fax:
Practice Address - Street 1:540 TAYLOR DR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-7033
Practice Address - Country:US
Practice Address - Phone:925-446-1964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician