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.
Healthcare Provider's Profile
| Full Name | Maxwell Khanin |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Technician |
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| Location | 1001 Sneath Ln, San Bruno, California |
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| 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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