NPI 1679001812 · live from the CMS NPI Registry
Azeb Adere
Behavior Analyst in Manassas, VA. National Provider Identifier 1679001812, active.
NPI record
| NPI | 1679001812 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 10686 Crestwood Dr Ste B, Manassas, VA 20109 |
| Practice phone | 703-392-6166 |
| Mailing address | 4600 Winding Stone Cir, Olney, MD 20832 |
| Enumerated | June 1, 2017 |
| Last updated | June 1, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1500725 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.