Marzan Shirazi Shams
Behavior Technician in Melville, NY. Individual provider (NPI-1).
NPI number1063909331
StatusActive
Last updated in NPPESApr 22, 2018
Details
- NPI
- 1063909331
- Entity type
- Individual (NPI-1)
- Name
- Marzan Shirazi Shams
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2018
- Last updated
- Apr 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
225 Broadhollow Rd Ste 402Melville, NY 11747-4899
Phone 631-385-7780 · Fax 631-385-7795
Mailing address
5 Van Sise CtSyosset, NY 11791-5022
Phone 347-217-7238
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