Individual
KAMBIZ TAVANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1651 OLD MEADOW RD STE 600, MC LEAN, VA 22102-4389
(703) 564-1639
(703) 734-1932
Mailing address
7501 DEMOCRACY BLVD APT 113, BETHESDA, MD 20817
(202) 262-3181
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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