Individual
LINA HAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9357 GLOXINIA WAY, MANASSAS, VA 20110-6666
(571) 991-6205
Mailing address
9357 GLOXINIA WAY, MANASSAS, VA 20110-6666
(571) 991-6205
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94185104
—
VA
Enumeration date
02/02/2022
Last updated
02/02/2022
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