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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIDIYA ASGEDOM

Active

LIDIYA ASGEDOM is a Behavior Technician healthcare provider located in SAN MATEO, California. NPI 1053803874 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · SAN MATEO, CA

Registration Details

NPI Number
1053803874
Provider Type
Individual
Gender
Female
NPI Issued
Jun 6, 2018 (8.0057449854685 yrs)
Last Updated
Jun 6, 2018
License
D912852 (CA)

Practice Information

Address
800 S CLAREMONT ST STE 108
SAN MATEO, CA, 944021449
Browse CA providers · Browse ZIP 94402
Phone
6502812631
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in SAN MATEO, CA

Name Credential NPI
ASHLEY WAHNSCHAFF 1679940688
MR. MARCOS ADRIAN GUTIERREZ SOLTERO 1225493471
SHELBY CHRISTIN DIETHELM 1669838173
OMARI MARZINE HUDSON 1801242110
EDWIN LAO 1851833172
CARLOS NIGEL SEGURA 1932618899
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.