Individual
EYOB HABTEMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9994 SOWDER VILLAGE SQ # 102, MANASSAS, VA 20109-5464
(185) 583-2672
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904016478
VA
1041C0700X
Clinical Social Worker
—
VA
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
07/10/2024
Last updated
07/05/2026
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