Individual
KIMIA SHANNON SANATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
977 48TH ST, BROOKLYN, NY 11219-2919
(718) 283-6344
Mailing address
21773 PLANEWOOD DR, WOODLAND HILLS, CA 91364-5216
(818) 322-5703
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
08/14/2018
Last updated
10/27/2022
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