Basic Information
Provider Information
NPI: 1639757131
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AFRAZ
FirstName: SAVEEM
MiddleName: AHMED
NamePrefix:  
NameSuffix:  
Credential: BCBA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7108 S KANNER HWY
Address2:  
City: STUART
State: FL
PostalCode: 349977462
CountryCode: US
TelephoneNumber: 8558326727
FaxNumber:  
Practice Location
Address1: 10777 WESTHEIMER RD STE 1100
Address2:  
City: HOUSTON
State: TX
PostalCode: 770423462
CountryCode: US
TelephoneNumber: 8558326727
FaxNumber: 7726759100
Other Information
ProviderEnumerationDate: 03/29/2021
LastUpdateDate: 03/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/29/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103K00000X1-21-48732TXY Behavioral Health & Social Service ProvidersBehavioral Analyst 

No ID Information.


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