SearchCalifornia106S00000X

Shady Keivannia

NPI 1598401150 · on the registry since 2022

Practice

Address
Behavior Frontiers, Llc
1100 W Town & Country Rd, Suit
Orange, CA 92868
Phone
(949) 357-2556
Fax
(855) 568-2494

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California