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Organization
INTEGRATED AUTISM BEHAVIOR SERVICES LLC
Active
Organization
INTEGRATED AUTISM BEHAVIOR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAZLUL KHALEQ SHUJA MEDICAL DOCTOR (PRESIDENT)
(202) 340-6334
Entity
Organization
Contact information
Practice address
1110 HERNDON PKWY STE 305, HERNDON, VA 20170-5547
(703) 943-6560
(571) 685-2221
Mailing address
1110 HERNDON PKWY STE 305, HERNDON, VA 20170-5547
(703) 943-6560
(571) 526-5550
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/19/2022
Last updated
08/20/2025
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