Provider Demographics
NPI:1881284842
Name:ABDUL-RAHMAN, STRAUSS LEE (BCBA)
Entity type:Individual
Prefix:
First Name:STRAUSS
Middle Name:LEE
Last Name:ABDUL-RAHMAN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:STRAUSS
Other - Middle Name:
Other - Last Name:RAHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BCBA
Mailing Address - Street 1:473 E. CARNEGIE DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 S FREMONT AVE UNIT 85
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-8822
Practice Address - Country:US
Practice Address - Phone:725-231-0768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-24
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst