Individual
SELAMAWIT HAGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA, BCBA
Contact information
Practice address
10530 WARWICK AVE, SUITE C2, FAIRFAX, VA 22030-3132
(703) 994-4754
(571) 384-5815
Mailing address
8979 BIRCH BAY CIR, LORTON, VA 22079-5660
(703) 994-4754
(571) 384-5815
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/16/2016
Last updated
01/16/2016
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