Provider Demographics
NPI:1588905749
Name:ABHARI, BAHAREH (BCBA)
Entity type:Individual
Prefix:
First Name:BAHAREH
Middle Name:
Last Name:ABHARI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 VAN NESS WAY
Mailing Address - Street 2:#710
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-1489
Mailing Address - Country:US
Mailing Address - Phone:310-787-9334
Mailing Address - Fax:310-787-8626
Practice Address - Street 1:795 FOLSOM ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1243
Practice Address - Country:US
Practice Address - Phone:415-813-2204
Practice Address - Fax:177-267-5910
Is Sole Proprietor?:No
Enumeration Date:2013-03-12
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-12-10038103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst