Provider Information
 Last Updated :  Sep 5 2025 2:28 PM	
	Deena I Moustafa
| City Fresno                    | 
| Group HEALTH NET DIRECT FFS MEDI-CAL                                                                       | 
| Specialty Qualified Autism Svc Provider                      | 
| Last Name Moustafa                                                           | 
| First Name Deena                                              | 
| Middle Name I          | 
| Address 1444 Fulton St                           | 
| State CA | 
| Zip Code 93721     | 
| Phone (559)552-1755  | 
| Hours Mon - Sat 9:00 AM - 6:00 PM                                                                                              | 
| Gender F | 
| Title PH.D.   | 
| Physician ID   910062        | 
| Language 1 German                         | 
| Section Number A | 
| County FRESNO | 
| Accepting New Patient Yes | 
| PPG NAME HEALTH NET DIRECT FFS MEDI-CAL                                         | 
| PPG ID MHDML | 
| NPI Number   1396241683  | 
| Access Requirement Limited | 
| PARKING_IND P | 
| EXT_BUILD_IND EB | 
| INT_BUILD_IND IB | 
| RESTROOM_IND R | 
| License ID BCB29861           | 
| Email info@gobehavioral.com                                        | 
| Board Certified No | 
| Self Access Flag Self Reported Data | 


