Individual
SHABNAM BANAFSHEHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16500 VENTURA BLVD, ENCINO, CA 91436-2011
(818) 788-1003
Mailing address
211 BELOIT AVE, LOS ANGELES, CA 90049-3053
(310) 850-6651
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA-792
CA
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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