Individual
MR. MAZIAR GOLSHANNEJAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS ED, LBA
Contact information
Practice address
1551 E 37TH ST, BROOKLYN, NY 11234-3417
(347) 385-5904
Mailing address
1685 E 5TH ST APT 6G, BROOKLYN, NY 11230-6914
(347) 385-5904
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001920-01
NY
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/29/2014
Last updated
04/09/2025
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