Individual
NIKIA RAE DOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP BCBA LBA
Contact information
Practice address
9845 BUSINESS WAY, MANASSAS, VA 20110-4152
(703) 618-6180
(703) 542-3206
Mailing address
9845 BUSINESS WAY, MANASSAS, VA 20110-4152
(703) 618-6180
(703) 542-3206
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133000035
VA
235Z00000X
Speech-Language Pathologist
Primary
2202001282
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01032747
ASHA CCC
—
01
—
0133000035
LICENSED BEHAVIOR ANALYST - VIRGINIA BOARD OF MEDICINE
VA
01
—
1052204
BCBA CERTIFICATION
—
01
—
2202001282
VA SLP LICENSE
VA
Enumeration date
03/26/2007
Last updated
01/11/2016
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