Provider Demographics
NPI:1336619741
Name:SAID, NORA NAZIEH
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:NAZIEH
Last Name:SAID
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 1:3550 PACIFIC AVE APT 704
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4883
Mailing Address - Country:US
Mailing Address - Phone:925-660-9539
Mailing Address - Fax:
Practice Address - Street 1:3550 PACIFIC AVE APT 704
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4883
Practice Address - Country:US
Practice Address - Phone:925-660-9539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-28
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician