Organization
CLASSIC ABA SERVICES
Active
Other names
Classic ABA Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHOHREH TOUSI (OWNER/DIRECTOR)
(703) 717-2745
Entity
Organization
Contact information
Practice address
1964 GALLOWS RD STE 302, VIENNA, VA 22182-3814
(703) 717-2745
Mailing address
1964 GALLOWS RD STE 302, VIENNA, VA 22182-3814
(703) 717-2745
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427667096
—
VA
Enumeration date
06/03/2024
Last updated
06/03/2024
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