Individual
MS. SHAMIM HAMIDZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
21576 IREDELL TER, BROADLANDS, VA 20148-5033
(510) 738-7709
(844) 333-0432
Mailing address
21576 IREDELL TER, BROADLANDS, VA 20148-5033
(510) 738-7709
(844) 333-0432
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004694
VA
106S00000X
Behavior Technician
RBT-22-213394
VA
Other
Enumeration date
06/02/2023
Last updated
10/21/2025
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