Javed Miya Shah

NPI #1992358402 in North Pole, Alaska

Provider Information

NPI Number: 1992358402
Entity Type: Individual
Name: Javed Miya Shah
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 23, 2019
Last Updated: Jul 23, 2019

Practice Location

Address: 895 LAKLOEY DR
City: North Pole
State: Alaska
ZIP Code: 99705-5355
Phone: (347) 613-3376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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