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Organization

ROOTS TO BLOOMS LLC

Active
Other names
Roots To Blooms LLC
Organization subpart
No

Provider details

NPI number
Authorized official
HAFSA SALAHUDDIN (MANAGER)
(202) 415-1578
Entity
Organization

Contact information

Practice address
20133 GLEEDSVILLE RD, LEESBURG, VA 20175-8856
(202) 415-1578
Mailing address
4901 SPRINGBROOK DR, ANNANDALE, VA 22003-3938
(202) 415-1578

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
2084P0800X
Psychiatry Physician
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
02/27/2025
Last updated
07/02/2025
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