| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MIRIAM AZIZI | 1528845914 | 2023-09-11 |
Miriam Azizi is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1528845914. Registration indicates Miriam Azizi is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Miriam Azizi |
| Practice Office Address | 9355 E STOCKTON BLVD STE 100 ELK GROVE, CA US |
| Practice Office Telephone | 3039898169 |
| Mailing Address | 9355 E STOCKTON BLVD STE 100 ELK GROVE, CA 956249476 US |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |