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NPI Code Detail

MEDICARE: AYDA SADEGHIAN SORKHABI

MEDICARE: AYDA SADEGHIAN SORKHABI
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
1103K00000XBehavior Analyst3322NC

General Provider Information

NPI Number : 1841759479
Entity Type Code : Individual
Provider Name (Legal Business Name) : AYDA SADEGHIAN SORKHABI
Provider Business Mailing Address
First Line : 2127 W ORANGEWOOD AVE STE B
Second Line :
City : ORANGE
State : CA
Zip : 92868-1978
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6201 FAIRVIEW RD STE 200
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-3297
Country : US
Telephone Number : 980-317-8260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2019
Last Update Date : 11/03/2025

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Directions to “ AYDA SADEGHIAN SORKHABI ” Practice Location

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