Individual
SHAFIQ WALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
356 BOXELDER DR, STAFFORD, VA 22554-6844
(480) 667-2051
Mailing address
356 BOXELDER DR, STAFFORD, VA 22554-6844
(480) 667-2051
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
RBT23270730
CO
103K00000X
Behavior Analyst
Primary
RBT23270730
VA
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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