Individual
MS. ADEELA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6563 EDSALL RD, SPRINGFIELD, VA 22151-4414
(703) 354-0000
(703) 354-1129
Mailing address
6563 EDSALL RD, SPRINGFIELD, VA 22151-4414
(703) 354-0000
(703) 354-1129
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-34563
VA
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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