| NPI | 1992133037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HALIM Clinical Manager 703-638-3056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist (Licence: VA 2202006160) | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2022-05-16 |