Individual
SHOHAIB ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
631 RIVER OAKS PKWY, SAN JOSE, CA 95134-1907
(408) 914-7478
Mailing address
4070 HEMINGWAY CMN, FREMONT, CA 94536-6017
(510) 940-3078
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
09/19/2023
Last updated
09/02/2025
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