Healthcare Provider Details

I. General information

NPI: 1861127714
Provider Name (Legal Business Name): NADIA REYYASHI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2022
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1347 N ALMA SCHOOL RD STE 220
CHANDLER AZ
85224-5932
US

IV. Provider business mailing address

1347 N ALMA SCHOOL RD STE 220
CHANDLER AZ
85224-5932
US

V. Phone/Fax

Practice location:
  • Phone: 888-754-0398
  • Fax:
Mailing address:
  • Phone: 888-754-0398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBEH-002016
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: