Individual
ANKUS BASNET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9870A MAIN ST, FAIRFAX, VA 22031-3908
(571) 317-1792
Mailing address
9870A MAIN ST, FAIRFAX, VA 22031-3908
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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