Individual
MUMINA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
8565 FAIRFAX ST, MANASSAS, VA 20110-4815
(877) 315-8080
Mailing address
15477 MARSH OVERLOOK DR, WOODBRIDGE, VA 22191-3778
(571) 228-1141
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44771
VA
106S00000X
Behavior Technician
RBT-17-46831
VA
Other
Enumeration date
12/29/2017
Last updated
01/26/2023
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