Organization
NEWWAVE BEHAVIORAL CONSULTATION LLC
Active
Organization
NEWWAVE BEHAVIORAL CONSULTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDANA ROUSHANMEIDAN BCBA (BEHAVIOR ANALYST)
(520) 907-1351
Entity
Organization
Contact information
Practice address
2531 HILLSMAN ST, FALLS CHURCH, VA 22043-3336
(520) 907-1351
Mailing address
2531 HILLSMAN ST, FALLS CHURCH, VA 22043-3336
(520) 907-1351
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
03/01/2019
Last updated
06/25/2025
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