Khanin, Maxwell

Khanin, Maxwell is an individual health care provider with primary practice located at 1001 Sneath Ln , San Bruno CA 94066-2308. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Khanin, Maxwell can be contacted via phone (650) 243-9849.

Contact Information

Primary practice address
1001 Sneath Ln San Bruno CA 94066-2308
Phone: (650) 243-9849
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1649823923
LBN Legal business name Khanin, Maxwell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2019
Last updated Jul 17th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649823923 NPPES
California Other 72530271 BLUE SHIELD

Popular Providers