Provider / Organization | NPI | Date Certified |
---|---|---|
SHAHZAD TABATABAEE | 1295296143 | 2024-04-06 |
Shahzad Tabatabaee is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1295296143. Registration indicates Shahzad Tabatabaee is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
Entity Type | Individual |
Provider Name | Shahzad Tabatabaee |
Practice Office Address | 4695 MACARTHUR CT STE 1100 NEWPORT BEACH, CA US |
Practice Office Telephone | 8774182978 |
Practice Office Fax | 8665002186 |
Mailing Address | 27201 PUERTA REAL STE 300 MISSION VIEJO, CA 926918590 US |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |