BANAFSHA AMIRI
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1043157399- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 39210 STATE ST STE 220, FREMONT, CA, 945381456
- Phone
- (408) 772-3775
Specialties & Taxonomies
Behavior Technician
Primary License: CA #46-1305562
All Addresses
MAILING
28012 WHITESTONE CT
HAYWARD, CA, 945422127