Individual
FATIMA LAKHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8000 TOWERS CRESCENT DR, VIENNA, VA 22182-6207
(866) 586-4861
Mailing address
3780 TONBRIDGE PL, WOODBRIDGE, VA 22192-7470
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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