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Bibi Bahari

Behavior Technician in Granite Bay, CA. Individual provider (NPI-1).

NPI number1134878143
StatusActive
Last updated in NPPESMar 18, 2022

Details

NPI
1134878143
Entity type
Individual (NPI-1)
Name
Bibi Bahari
Sex
Female
Sole proprietor
No
Enumeration date
Mar 18, 2022
Certification date
Mar 18, 2022
Last updated
Mar 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

4196 Douglas Blvd
Granite Bay, CA 95746-5904

Phone 916-489-1376

Mailing address

Po Box 5157
Modesto, CA 95352-5157

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