Individual
MR. AMIR MEHDI ANSARI GHALEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
4528 PLANK RD, FREDERICKSBURG, VA 22407-0141
(540) 755-2937
Mailing address
4959 LINSEY CT, WOODBRIDGE, VA 22193-4327
(407) 443-4873
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47908
CO
Other
Enumeration date
07/13/2016
Last updated
05/02/2023
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