Individual
MANDANA ROUSHANMEIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2531 HILLSMAN ST, FALLS CHURCH, VA 22043-3336
(703) 595-0441
(571) 583-9173
Mailing address
6862 ELM ST STE 205, MC LEAN, VA 22101-3857
(703) 821-1073
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-8-30161
—
Other
Enumeration date
04/04/2018
Last updated
06/25/2025
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