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Individual

AZIZULLAH HOTAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS. ABA, BCBA, LBA

Contact information

Practice address
14123 ROBERT PARIS CT, CHANTILLY, VA 20151-4203
(571) 412-7994
Mailing address
14123 ROBERT PARIS CT, CHANTILLY, VA 20151-4203

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-81326
VA
106S00000X
Behavior Technician
RBT-22-202236
VA

Other

Enumeration date
11/01/2023
Last updated
09/25/2025
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