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Individual

FIRAS RAFATI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5730 NORTHWEST PKWY STE 115, SAN ANTONIO, TX 78249-3378
(888) 754-0398
(954) 982-6491
Mailing address
6416 NW 5TH WAY, FT LAUDERDALE, FL 33309-6112
(888) 754-0398
(954) 982-6491

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201914530
TRICARE, BCBS
Enumeration date
07/31/2019
Last updated
01/20/2022
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