Individual
ABBY SHAKIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4436 ENGLISH ROSE CMN, FREMONT, CA 94538-5443
(626) 628-4561
Mailing address
4436 ENGLISH ROSE CMN, FREMONT, CA 94538-5443
(626) 628-4561
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49537
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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