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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