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

Sara Ezzat Annick Tavakoli

Individual provider Behavior Technician · NPI 1194318360

Sara Ezzat Annick Tavakoli is a Behavior Technician in Baltimore, Maryland. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

400 E Pratt St
Baltimore, MD 21202-3116
Phone: (866) 586-4861
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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 number1194318360
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 18, 2021
Last updated in NPPESAugust 20, 2021
Certification dateAugust 20, 2021
Mailing address850 Towbin Ave, Lakewood, NJ 08701-5928

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