Provider Demographics
NPI:1730751777
Name:ASLAN, ABDULLA
Entity type:Individual
Prefix:
First Name:ABDULLA
Middle Name:
Last Name:ASLAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:YANNI
Other - Middle Name:
Other - Last Name:ASLAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5560 LEXINGTON AVE APT 165
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-4141
Mailing Address - Country:US
Mailing Address - Phone:209-857-6572
Mailing Address - Fax:
Practice Address - Street 1:1171 HOMESTEAD RD STE 250
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-5485
Practice Address - Country:US
Practice Address - Phone:877-910-6538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician