Provider Demographics
NPI:1992561856
Name:FAIZ, FIROOZEH
Entity type:Individual
Prefix:
First Name:FIROOZEH
Middle Name:
Last Name:FAIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2925 WIGWAM PKWY APT 921
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-2873
Mailing Address - Country:US
Mailing Address - Phone:702-934-5580
Mailing Address - Fax:
Practice Address - Street 1:2925 WIGWAM PKWY APT 921
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-2873
Practice Address - Country:US
Practice Address - Phone:702-934-5580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-27
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician