Individual
AMIR NEZAM-SHAHIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8280 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4518
(888) 922-2843
Mailing address
8280 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4518
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/27/2020
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