Organization
GATEWAY 4 ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERIE CABALU (PRESIDENT)
(571) 338-2955
Entity
Organization
Contact information
Practice address
913 SYMPHONY CIR SW, VIENNA, VA 22180-5960
(571) 338-2955
Mailing address
8300 GREENSBORO DR STE L1-255, TYSONS CORNER, VA 22102-3605
(571) 338-2955
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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