Individual
ASHIM PANDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1651 OLD MEADOW RD, MC LEAN, VA 22102-4311
(800) 828-5659
Mailing address
14621 WOODSPRING CT, CENTREVILLE, VA 20120-2983
(571) 707-9455
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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