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Individual

AMBER AZIZ EBRAHIMNEJAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8030 SOQUEL AVE STE 104, SANTA CRUZ, CA 95062-2096
(855) 223-7123
(619) 374-7134
Mailing address
PO BOX 33568, SAN DIEGO, CA 92163-3568
(855) 223-7123
(619) 374-7134

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
06/26/2018
Last updated
11/07/2024
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