Healthcare Provider Details

I. General information

NPI: 1609603158
Provider Name (Legal Business Name): NISHA KAJANI KARIMI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2024
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2233 N COMMERCE PKWY STE 1&3
WESTON FL
33326-3252
US

IV. Provider business mailing address

2233 N COMMERCE PKWY STE 1&3
WESTON FL
33326-3252
US

V. Phone/Fax

Practice location:
  • Phone: 954-217-1757
  • Fax:
Mailing address:
  • Phone: 954-217-1757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: