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Nijala Ainbe Muhammad

Behavior Technician

Behavioral Health & Social Service Providers

24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529

(951) 525-1990 (951) 765-7330

PECOS Enrollment

Based on the most recent information from CMS, provider Nijala Ainbe Muhammad does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1912678889
Provider Type
Individual
Full Name
Muhammad, Nijala Ainbe
Gender
Female

Sole Proprietor
No
Enumeration Date
9/21/2021
Last Updated
9/21/2021

Contact Information

Practice Location

24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529

(951) 525-1990

Unlisted Fax

Mailing Location

920 N Murray St, Banning, CA 92220-2454

(951) 765-7330

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID NCF976M84078	Description Other	Issuer ANTHEM BLUECROSS California

Nijala Ainbe Muhammad

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Mohammad, Naziya

Ayala, Kelly

Solis, Maribel

Kellman, Deandra Cassandra

Gourlay, Kimberlee

Noor, Alexandria

Lopez, Miguel Angel

Ramirez, Vivian

Reynoso, Bryanna Marie

Espinoza Valencia, Adriana Camilia