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1083067185
AMIR MEHDI ANSARI GHALEH
FREDERICKSBURG, VA
NPI
1083067185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CO 1-21-47908)
Enumeration Date
2016-07-13
Last Update Date
2023-05-02
Business Address
Mr. AMIR MEHDI ANSARI GHALEH M.S.
4528 PLANK RD
FREDERICKSBURG, VA 22407-0141
Phone number: 540-755-2937
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Mailing Address
Mr. AMIR MEHDI ANSARI GHALEH M.S.
4959 LINSEY CT
WOODBRIDGE, VA 22193-4327
Phone number: 407-443-4873
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