Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 106E00000X | Assistant Behavior Analyst | ||
Y | 106S00000X | Behavior Technician |
NPI | 1013416544 |
---|---|
Provider Name | Saghi Buloushi |
First Address | Laguna Niguel, CA 92677-4074 |
Second Address | Laguna Niguel, CA 92677-4074 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2018 |
Last Update Date | 14/02/2019 |