Individual provider · NPI-1

Ahmadreza Cyrus Amiri

Day Training/Habilitation Specialist · San Francisco, CA

NPI number1124905153
StatusActive
Last updated in NPPESAug 20, 2025

Details

NPI
1124905153
Entity type
Individual (NPI-1)
Name
Ahmadreza Cyrus Amiri
Sex
Male
Sole proprietor
No
Enumeration date
Aug 20, 2025
Certification date
Aug 20, 2025
Last updated
Aug 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes
225400000X Rehabilitation Practitioner––
175T00000X Peer Specialist––

Practice location

1153 Oak St
San Francisco, CA 94117-2216

Phone 415-712-6808

Mailing address

1153 Oak St
San Francisco, CA 94117-2216

Phone 415-712-6808

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