Individual
MR. ALI FASSIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
4501 CEDROS AVE, #124, SHERMAN OAKS, CA 91403-2801
(818) 857-7576
Mailing address
5911 JULIAN LN, TARZANA, CA 91356-1148
(818) 857-7576
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19244
CA
Other
Enumeration date
02/29/2016
Last updated
04/30/2018
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