Koosha Heidari
Koosha Heidari is a Behavior Technician in San Diego, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
501 W Broadway Ste 800San Diego, CA 92101-3546
Phone: (877) 418-2978
Fax: (866) 500-2186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1518565142 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 15, 2020 |
| Last updated in NPPES | October 15, 2020 |
| Certification date | October 15, 2020 |
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