Individual
AMIR SHABAZZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
386 14TH ST, OAKLAND, CA 94612-3211
(341) 229-6629
Mailing address
386 14TH ST, OAKLAND, CA 94612-3211
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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