Individual
SHIRAN ASULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 W DUNLAP AVE STE 100, PHOENIX, AZ 85021-2813
(480) 372-2130
Mailing address
1111 ELM ST, WEST SPRINGFIELD, MA 01089-1782
(413) 734-0300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
08/01/2014
Last updated
09/26/2018
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