Mohammad Salmohn Azimy

Individual provider Active NPI Behavior Analyst · Albuquerque, NM

NPI 1295046761 · NPPES record last updated Jun 29, 2010

Key facts

NPI
1295046761
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
1218 Griegos Rd NW
Albuquerque, NM 87107-3752
Phone
(505) 264-4074
NPI assigned
Jun 29, 2010
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

1218 Griegos Rd NW
Albuquerque, NM 87107-3752

Mailing address

1218 Griegos Rd NW
Albuquerque, NM 87107-3752
Phone (505) 264-4074

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Behavior Analyst in New Mexico

Sources for this page

Verify at the official NPI Registry.