Individual
AVANI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
11211 WAPLES MILL RD, FAIRFAX, VA 22030-7406
(571) 241-8557
(571) 303-1835
Mailing address
11211 WAPLES MILL RD, FAIRFAX, VA 22030-7406
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002830
VA
106E00000X
Assistant Behavior Analyst
0134000321
VA
Other
Enumeration date
06/09/2019
Last updated
04/03/2026
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