Individual
DARYA MIREBRAHIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
700 E FRANKLIN ST APT 807, RICHMOND, VA 23219-2331
(202) 604-9565
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VT
Other
Enumeration date
03/03/2020
Last updated
03/27/2026
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