| 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 |
|---|---|
| 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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