| Gateway 4 Aba | |
|
913 Symphony Cir Sw Vienna VA 22180-5960 | |
| (571) 338-2955 | |
| Not Available |
| Full Name | Gateway 4 Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 913 Symphony Cir Sw, Vienna, Virginia |
| Authorized Official Name and Position | Sherie Cabalu (PRESIDENT) |
| Authorized Official Contact | 5713382955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway 4 Aba 8300 Greensboro Dr Ste L1-255 Tysons Corner VA 22102-3605 Ph: (571) 338-2955 | Gateway 4 Aba 913 Symphony Cir Sw Vienna VA 22180-5960 Ph: (571) 338-2955 |
| NPI Number | 1992378293 |
|---|---|
| Provider Enumeration Date | 07/23/2021 |
| Last Update Date | 07/23/2021 |
| Certification Date | 07/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992378293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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