MEDICARE: SHAHNAZ SULEMAN SAYANI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst

General Provider Information

NPI Number	:	1114570850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAHNAZ SULEMAN SAYANI

Provider Business Mailing Address
First Line	:	3304 MONARCH
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78259-2352
Country	:	US
Telephone Number	:	210-884-5303
Fax Number	:

Provider Business Practice Location Address
First Line	:	3304 MONARCH
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78259-2352
Country	:	US
Telephone Number	:	210-884-5303
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2019
Last Update Date	:	07/22/2019

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Directions to “ SHAHNAZ SULEMAN SAYANI ” Practice Location

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