Individual provider · Type 1 NPI

Ghazzalle Mirkooshesh

Behavior Analyst · San Bruno, CA

NPI number 1972071934 Active

Practice location

751 Camino Plz, Suite A
San Bruno, CA 94066-3401

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	None listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1972071934

Ghazzalle Mirkooshesh's National Provider Identifier is 1972071934, issued on Nov 7, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in San Bruno, CA. The record was last updated on Jul 13, 2022.