Nova Aba | |
2627 Quincy Adams Dr Herndon VA 20171-2436 | |
(571) 249-5142 | |
Not Available |
Full Name | Nova Aba |
---|---|
Speciality | Behavior Analyst |
Location | 2627 Quincy Adams Dr, Herndon, Virginia |
Authorized Official Name and Position | Maria Soldatenkov (CO-OWNER) |
Authorized Official Contact | 5712495142 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nova Aba 2627 Quincy Adams Dr Herndon VA 20171-2436 Ph: (571) 249-5142 | Nova Aba 2627 Quincy Adams Dr Herndon VA 20171-2436 Ph: (571) 249-5142 |
NPI Number | 1891127650 |
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Provider Enumeration Date | 08/04/2013 |
Last Update Date | 08/04/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891127650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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