Organization
LIFEBUOY ABA, LLC
Active
Other names
Lifebuoy ABA
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED AHMED (OWNER)
(703) 980-9193
Entity
Organization
Contact information
Practice address
8311 KINSLEY MILL PL, GAINESVILLE, VA 20155-1730
(703) 980-9193
Mailing address
8311 KINSLEY MILL PL, GAINESVILLE, VA 20155-1730
(703) 980-9193
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/26/2024
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