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NPI Code Detail

MEDICARE: ARIAN AZAD

MEDICARE: ARIAN AZAD
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 Analyst

General Provider Information

NPI Number : 1760612311
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIAN AZAD
Provider Business Mailing Address
First Line : PO BOX 2233
Second Line :
City : DUBLIN
State : CA
Zip : 94568-0223
Country : US
Telephone Number : 925-525-1157
Fax Number :
Provider Business Practice Location Address
First Line : 1200 CONCORD AVE STE 100
Second Line :
City : CONCORD
State : CA
Zip : 94520-4969
Country : US
Telephone Number : 510-846-9009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2009
Last Update Date : 06/28/2022

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Directions to “ ARIAN AZAD ” Practice Location

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