Sharon Aviles

Individual provider Active NPI Behavior Analyst · Manassas, VA

NPI 1003486762 · NPPES record last updated Jun 25, 2021

Key facts

NPI
1003486762
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
B62706592 (VA)
Practice address
8700 Sudley Rd
Manassas, VA 20110-4418
Phone
(703) 369-8000
NPI assigned
Jun 25, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
B62706592VAMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X B62706592 VA Yes

Addresses

Primary practice location

8700 Sudley Rd
Manassas, VA 20110-4418

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other providers in Manassas, VA

All providers in Manassas, VA · Behavior Analyst in Virginia

Sources for this page

Verify at the official NPI Registry.