Sara Aghaebrahimi Samani
Behavior Analyst in Albuquerque, NM. Individual provider (NPI-1).
NPI number1164092086
StatusActive
Last updated in NPPESFeb 1, 2023
Details
- NPI
- 1164092086
- Entity type
- Individual (NPI-1)
- Name
- Sara Aghaebrahimi Samani
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2021
- Certification date
- Feb 1, 2023
- Last updated
- Feb 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 12155206 | NM | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
8300 Jefferson St Ne Ste BAlbuquerque, NM 87113-1734
Phone 844-743-6506
Mailing address
8300 Jefferson St Ne Ste BAlbuquerque, NM 87113-1734
Phone 844-743-6506 · Fax 531-777-7579
Other practice locations
10899 Montgomery Blvd Ne Ste B
Albuquerque, NM 87111-3935
Albuquerque, NM 87111-3935
Phone 505-544-6330
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