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NPI Code Detail

MEDICARE: SAHAR DAVARZANI

MEDICARE:   SAHAR  DAVARZANI
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 AnalystRBT-24-362283VA

General Provider Information

NPI Number : 1881414043
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAHAR DAVARZANI
Provider Business Mailing Address
First Line : 45558 LAKE HAVEN TER
Second Line :
City : STERLING
State : VA
Zip : 20165-6541
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 45558 LAKE HAVEN TER
Second Line :
City : STERLING
State : VA
Zip : 20165-6541
Country : US
Telephone Number : 571-574-0613
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2024
Last Update Date : 10/14/2024

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Directions to “ SAHAR DAVARZANI ” Practice Location

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