Individual
MISS PORTIA AREZOU SHIRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1031 E FAYETTE ST, SYRACUSE, NY 13210-1022
(315) 732-3431
Mailing address
1031 E FAYETTE ST, SYRACUSE, NY 13210-1022
(315) 732-3431
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45588
IL
106S00000X
Behavior Technician
—
IL
Other
Enumeration date
11/20/2019
Last updated
06/29/2023
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