Individual
HIRA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8230 LEESBURG PIKE STE 740, VIENNA, VA 22182-2641
(877) 504-4141
Mailing address
17335 NUGENT LN, DUMFRIES, VA 22026-3341
(571) 320-0835
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
N/A
—
Enumeration date
09/13/2022
Last updated
09/13/2022
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