Provider Demographics
NPI:1083492748
Name:PRASAD, RHEA MARIANNE
Entity Type:Individual
Prefix:
First Name:RHEA
Middle Name:MARIANNE
Last Name:PRASAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 HARRIS PL APT 221
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-1787
Mailing Address - Country:US
Mailing Address - Phone:510-921-7582
Mailing Address - Fax:
Practice Address - Street 1:80 HARRIS PL APT 221
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-1787
Practice Address - Country:US
Practice Address - Phone:510-921-7582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician