| To The Moon Aba Therapy | |
|
3445 Berkeley St Apt 242 Alexandria VA 22302-1287 | |
| (804) 728-8882 | |
| Not Available |
| Full Name | To The Moon Aba Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3445 Berkeley St Apt 242, Alexandria, Virginia |
| Authorized Official Name and Position | Lizna Khimani (BCBA) |
| Authorized Official Contact | 8047288827 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| To The Moon Aba Therapy 14497 Potomac Mills Rd # 1013 Woodbridge VA 22192-6807 Ph: (804) 728-8882 | To The Moon Aba Therapy 3445 Berkeley St Apt 242 Alexandria VA 22302-1287 Ph: (804) 728-8882 |
| NPI Number | 1861149510 |
|---|---|
| Provider Enumeration Date | 03/02/2022 |
| Last Update Date | 06/19/2022 |
| Certification Date | 06/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861149510 | NPI | - | NPPES |
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