# LIFEBUOY ABA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lifebuoy ABA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285467399
- **Authorized official:** MOHAMED AHMED (OWNER)
- **Authorized official phone:** (703) 980-9193

## Contact information

- **Practice address:** 8311 KINSLEY MILL PL, GAINESVILLE, VA 20155-1730
- **Practice address phone:** (703) 980-9193
- **Mailing address:** 8311 KINSLEY MILL PL, GAINESVILLE, VA 20155-1730
- **Mailing address phone:** (703) 980-9193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/23/2024
- **Last updated:** 08/26/2024