Peikari, Shahab Sean

Peikari, Shahab Sean is an individual health care provider with primary practice located at 2815 Exchange Blvd Ste 100 , Southlake TX 76092-7515. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Peikari, Shahab Sean can be contacted via phone (516) 510-1205.

Contact Information

Primary practice address
2815 Exchange Blvd Ste 100 Southlake TX 76092-7515
Phone: (516) 510-1205
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-17-28634 Florida

Profile Details

NPI number 1497146997
LBN Legal business name Peikari, Shahab Sean
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2015
Last updated Sep 10th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497146997 NPPES
Florida Other 1-17-28634 BACB CERTIFICATION NUMBER

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