Individual
IMAABASI OLORUNTOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1651 OLD MEADOW RD, MC LEAN, VA 22102-4311
(703) 564-1639
Mailing address
10682 BLENDIA LN APT 6, MANASSAS, VA 20109-3455
(571) 264-2524
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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