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Organization
KIZA HEALTHCARE SERVICES LLC
Active
Organization
KIZA HEALTHCARE SERVICES LLC
Active
Other names
Kiza Healthcare Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENIPHER I NAZARETH BCBA (CEO)
(301) 204-6285
Entity
Organization
Contact information
Practice address
5001 SEMINARY RD APT 305, ALEXANDRIA, VA 22311-1907
(202) 301-3913
(301) 204-6285
Mailing address
5001 SEMINARY RD APT 305, ALEXANDRIA, VA 22311-1907
(202) 301-3913
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106E00000X
Assistant Behavior Analyst
—
NULL
106E00000X
Assistant Behavior Analyst
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
04/07/2025
Last updated
04/25/2025
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