Shadeed Hasan II
Counselor Behavior Analyst Clinical Social Worker
1811 Grand Canal Blvd Ste 2
Stockton
, California 95207-8107
Shadeed Hasan II
Counselor Behavior Analyst Clinical Social Worker
1811 Grand Canal Blvd Ste 2
Stockton
, California 95207-8107
(866) 500-2186
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About
Features
Specialties
- Counselor
- Behavior Analyst
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Shadeed Hasan II
- 500 Fairway Dr Ste 102
- Deerfield Beach, FL
- Zip : 33441-1817
- Fax : (866) 500-2186
- Phone : (877) 418-2978
Second Address
- Shadeed Hasan II
- 1811 Grand Canal Blvd Ste 2
- Stockton, CA
- Zip : 95207-8107
- Phone : (877) 418-2978
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101Y00000X | Counselor | 36287 | CA |
| Y | 103K00000X | Behavior Analyst | 1-16-22697 | CA |
| N | 1041C0700X | Clinical Social Worker | LCSW84937 | CA |
National Provider Identifier
| NPI | 1003130626 |
|---|---|
| Provider Name | Shadeed Hasan II |
| First Address | Deerfield Beach, FL 33441-1817 |
| Second Address | Stockton, CA 95207-8107 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2010 |
| Last Update Date | 28/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.