Most Relevant Information
Provider Data
| NPI Number: | 1003688789 |
| Provider Name: | SHANZA FARAZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/25/2023 |
| Last Updated: | 10/25/2023 |
Provider Practice Location
99 ALMADEN BLVD # S
SAN JOSE
CA
951131610
Practice Location Phone/Fax
| Phone: | 8883312181 |
| Fax: |
Provider Mailing Location
34128 SPUR WAY
FREMONT
CA
945553525
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |