Organization
CARDINAL CARE BEHAVIORAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSHANAK SAFIARDESTANI BCBA (BEHAVIOR ANALYST)
(310) 483-2662
Entity
Organization
Contact information
Practice address
5456 BRADDOCK RIDGE DR, CENTREVILLE, VA 20120-1645
(310) 483-2662
Mailing address
5456 BRADDOCK RIDGE DR, CENTREVILLE, VA 20120-1645
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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