Individual
ANDRE KAMRAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 PIEDMONT # 506, IRVINE, CA 92620-2844
(949) 310-1027
Mailing address
506 PIEDMONT # 506, IRVINE, CA 92620-2844
(949) 310-1027
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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