Individual
AFRA KHAKIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1704 MIRAMONTE AVE STE 3, MOUNTAIN VIEW, CA 94040-3718
(650) 930-9550
Mailing address
1704 MIRAMONTE AVE STE 3, MOUNTAIN VIEW, CA 94040-3718
(650) 930-9550
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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