Organization
AXIAL BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD SHAHIM AZIMI (MANAGING MEMBER)
(571) 268-3460
Entity
Organization
Contact information
Practice address
5800 QUANTRELL AVE APT 1419, ALEXANDRIA, VA 22312-2791
(571) 268-3460
Mailing address
5800 QUANTRELL AVE APT 1419, ALEXANDRIA, VA 22312-2791
(571) 268-3460
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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