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Individual

ALISHA BAJAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11200 WAPLES MILL RD STE 100, FAIRFAX, VA 22030-7475
(703) 237-2219
Mailing address
19268 KOSLOWSKI SQ, LEESBURG, VA 20176-6519
(571) 528-4922

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/20/2024
Last updated
06/20/2024
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