Individual
KIMBERLY ANN SHAHARIYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 LAKEVIEW PKWY STE 200, ROWLETT, TX 75088-4560
(469) 469-9021
Mailing address
1709 ARROW LN, GARLAND, TX 75042-8312
(469) 900-7608
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47097
TX
Other
Enumeration date
12/21/2009
Last updated
01/20/2022
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