Individual
MANA EBRAHIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
720 HANFORD PL, WESTFIELD, NJ 07090-4332
(919) 717-5769
Mailing address
720 HANFORD PL, WESTFIELD, NJ 07090-4332
(919) 717-5769
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14726
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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