Individual
AZEN SARVESTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(855) 223-7123
Mailing address
PO BOX 740780, ATLANTA, GA 30374-0780
(855) 223-7123
(619) 374-7134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-18-59069
CA
Other
Enumeration date
09/06/2018
Last updated
05/05/2026
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