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ANDISHEH FATHE-AAZAM, BCABA

Active

ANDISHEH FATHE-AAZAM, BCABA is a Assistant Behavior Analyst healthcare provider located in BARNESVILLE, Georgia. NPI 1720796659 is currently active in the NPPES registry. Verify at CMS.

Assistant Behavior Analyst · BARNESVILLE, GA

Registration Details

NPI Number
1720796659
Provider Type
Individual
Gender
Female
NPI Issued
Nov 9, 2022 (3.7241885870921 yrs)
Last Updated
Oct 1, 2025
License
0-25-16285 (GA)

Practice Information

Address
229 HIGHWAY 41 N
BARNESVILLE, GA, 302043209
Browse GA providers · Browse ZIP 30204
Phone
8889632228
Primary Specialty
Assistant Behavior Analyst
106E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.