Individual
MARYAM JAFARDOKHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2235 CEDAR LN STE 102, VIENNA, VA 22182-5247
(703) 556-4888
Mailing address
1721 GOSNELL RD APT 203, VIENNA, VA 22182-2548
(703) 388-6802
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
0134000358
VA
Other
Enumeration date
01/29/2021
Last updated
06/27/2022
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