Individual
FARDOWSA HUSSEIN NUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
297 HERNDON PKWY STE 301, HERNDON, VA 20170-4469
(571) 241-8557
(571) 303-1835
Mailing address
3321 WILLIAM JOHNSTON LN APT 22, DUMFRIES, VA 22026-2156
(571) 552-7024
(571) 552-7024
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002508
VA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/24/2020
Last updated
01/15/2023
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