Individual provider · Type 1 NPI

Anisa Wajiba Farooqi

Student in an Organized Health Care Education/Training Program · Stockton, CA

NPI number 1235959842 Active

Practice location

1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107

Call (209) 782-8454 Map

Mailing address

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834

Other practice locations

  • 1525 Plumas Ct, Yuba City, CA 95991-2971 · (530) 418-1001

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1,316 other providers at this address

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About NPI 1235959842

Anisa Wajiba Farooqi's National Provider Identifier is 1235959842, issued on Oct 16, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stockton, CA. The record was last updated on Sep 16, 2026.