Individual
THANH KHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA, LABA
Contact information
Practice address
6216 OLD KEENE MILL CT, SPRINGFIELD, VA 22152-2323
(571) 297-4308
Mailing address
6213 GREELEY BLVD, SPRINGFIELD, VA 22152-1841
(571) 278-9034
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0134000248
VA
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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