Individual
LIBAN ABDALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10304 EATON PL STE 100, FAIRFAX, VA 22030-2221
(813) 761-0264
Mailing address
996 ROYAL MARCO WAY, MARCO ISLAND, FL 34145-1829
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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