Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khosrow Mobarakeh Dashtaki

Individual provider Behavior Technician · NPI 1356007256

Khosrow Mobarakeh Dashtaki is a Behavior Technician in Hialeah, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

20111 Red Run Dr
Hialeah, FL 33015-2119
Phone: (786) 273-1697
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 21-191936 (FL)

Record details

NPI number1356007256
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 15, 2021
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 5, 2022
Mailing address20111 Red Run Dr, Hialeah, FL 33015-2119

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