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Organization
INNOVATIVE SOLUTIONS X LLC
Active
Organization
INNOVATIVE SOLUTIONS X LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARID GHANBARI (MANAGER)
(571) 263-2207
Entity
Organization
Contact information
Practice address
8480 TYCO RD STE D, VIENNA, VA 22182-2247
(571) 263-2207
Mailing address
8480 TYCO RD STE D, VIENNA, VA 22182-2247
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
07/13/2026
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