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Organization

CHANGEPATH ABA THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHOHREH TOUSI (FOUNDER)
(703) 717-2745
Entity
Organization

Contact information

Practice address
2980 WINTER JACK LN, FAIRFAX, VA 22031-2362
(703) 717-2745
Mailing address
2980 WINTER JACK LN, FAIRFAX, VA 22031-2362
(703) 717-2745

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
06/02/2026
Last updated
06/02/2026
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