Individual
SHIRIN POURSHARIATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
100 ENTERPRISE DR STE 301, ROCKAWAY, NJ 07866-2129
(855) 832-6727
(772) 675-9100
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23873
—
Other
Enumeration date
04/18/2018
Last updated
12/24/2021
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