Individual
AMITIS IZADI LOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9379 FORESTWOOD LN, MANASSAS, VA 20110-4760
(703) 909-9332
Mailing address
14258 NEWBERN LOOP, GAINESVILLE, VA 20155-1451
(571) 299-7323
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004419
VA
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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