Maxwell Khanin, in San Bruno, CA - Behavior Technician

Maxwell Khanin, is a Behavior Technician based in San Bruno, California. Maxwell Khanin is licensed to practice in * (Not Available) (license number ) and his current practice location is 1001 Sneath Ln, San Bruno, California. He can be reached at his office (for appointments etc.) via phone at (650) 243-9849.

NPI number for Maxwell Khanin is 1649823923 and his current mailing address is 412 Paramount Dr, Millbrae, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649823923.

Contact Information

	Maxwell Khanin,
	1001 Sneath Ln, San Bruno, CA 94066-2308
	(650) 243-9849
	Not Available

Healthcare Provider's Profile

Full Name	Maxwell Khanin
Gender	Male
Speciality	Behavior Technician
Location	1001 Sneath Ln, San Bruno, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1649823923
Provider Enumeration Date: 07/16/2019
Last Update Date: 07/17/2019

Medical Identifiers

Medical identifiers for Maxwell Khanin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649823923	NPI	-	NPPES
72530271	Other	CA	BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	(* (Not Available))	Secondary
106S00000X	Behavior Technician	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maxwell Khanin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Maxwell Khanin, 412 Paramount Dr, Millbrae, CA 94030-1327 Ph: (415) 385-1527	Maxwell Khanin, 1001 Sneath Ln, San Bruno, CA 94066-2308 Ph: (650) 243-9849

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Maxwell Khanin, - in San Bruno, CA