Individual
KADIATU BAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7771 ASHTON AVE, MANASSAS, VA 20109-2879
(240) 328-8026
Mailing address
7771 ASHTON AVE, MANASSAS, VA 20109-2879
(571) 492-2686
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-20-111421
VA
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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