Provider Demographics
NPI:1114570850
Name:SAYANI, SHAHNAZ SULEMAN
Entity Type:Individual
Prefix:
First Name:SHAHNAZ
Middle Name:SULEMAN
Last Name:SAYANI
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 1:3304 MONARCH
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-2352
Mailing Address - Country:US
Mailing Address - Phone:210-884-5303
Mailing Address - Fax:
Practice Address - Street 1:3304 MONARCH
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-2352
Practice Address - Country:US
Practice Address - Phone:210-884-5303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst