Individual
SASHA R YAZDGERDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
3541 CHAIN BRIDGE RD STE 204, FAIRFAX, VA 22030-2793
(703) 218-6599
Mailing address
3541 CHAIN BRIDGE RD STE 204, FAIRFAX, VA 22030-2793
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000229
VA
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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