Nadine Ahmed

Individual provider Active NPI Behavior Technician · Ashburn, VA

NPI 1295305993 · NPPES record last updated Jun 26, 2021

Key facts

NPI
1295305993
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
A65988880 (VA)
Practice address
43490 Yukon Dr Ste 104
Ashburn, VA 20147-7302
Phone
(703) 936-2122
NPI assigned
Jun 26, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
A65988880VAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Autism and Related Disorders Behavior Technician Current
since Nov 20, 2022
Accepting new patients

Locations

43490 Yukon Dr
Ste 104
Ashburn, VA 20147
Phone (703) 936-2122

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X A65988880 VA Yes

Addresses

Primary practice location

43490 Yukon Dr Ste 104
Ashburn, VA 20147-7302

Mailing address

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

Other providers in Ashburn, VA

All providers in Ashburn, VA · Behavior Technician in Virginia

Sources for this page

Verify at the official NPI Registry.