Provider Demographics
NPI:1023303559
Name:SINGH, ANJILEEN (PHD, BCBA-D)
Entity type:Individual
Prefix:DR
First Name:ANJILEEN
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 WOODSIDE PLZ
Mailing Address - Street 2:#421
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061-2500
Mailing Address - Country:US
Mailing Address - Phone:650-503-3067
Mailing Address - Fax:
Practice Address - Street 1:50 WOODSIDE PLZ
Practice Address - Street 2:#421
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061-2500
Practice Address - Country:US
Practice Address - Phone:650-503-3067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-13
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional