Individual
MANDANA MOHTASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2201 N PERSHING DR APT 305, ARLINGTON, VA 22201-1473
(251) 767-5501
Mailing address
2201 N PERSHING DR, ARLINGTON, VA 22201-1446
(251) 767-5501
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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