Organization
NOVA ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA SOLDATENKOV (CO-OWNER)
(571) 249-5142
Entity
Organization
Contact information
Practice address
2627 QUINCY ADAMS DR, HERNDON, VA 20171-2436
(571) 249-5142
Mailing address
2627 QUINCY ADAMS DR, HERNDON, VA 20171-2436
(571) 249-5142
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/04/2013
Last updated
08/04/2013
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