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Individual

KHATIRA AMIR AHMADZAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
9330 BARNES LOOP, MANASSAS, VA 20110-6203
(708) 900-6692
(703) 440-4061
Mailing address
5659 NEDDLETON AVE, WOODBRIDGE, VA 22193-4157
(708) 900-6692
(703) 440-4061

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB405047
VA

Other

Enumeration date
03/04/2026
Last updated
03/04/2026
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