| Big Heart Aba Virginia Llc | |
|
205 Van Buren St Ste 12056 Herndon VA 20170-5348 | |
| (571) 250-9442 | |
| Not Available |
| Full Name | Big Heart Aba Virginia Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 205 Van Buren St Ste 12056, Herndon, Virginia |
| Authorized Official Name and Position | Asher Lax (DIRECTOR) |
| Authorized Official Contact | 5712509442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Heart Aba Virginia Llc 205 Van Buren St Pmb 56 Suite 120 Herndon VA 20170 Ph: (571) 250-9442 | Big Heart Aba Virginia Llc 205 Van Buren St Ste 12056 Herndon VA 20170-5348 Ph: (571) 250-9442 |
| NPI Number | 1013879865 |
|---|---|
| Provider Enumeration Date | 12/01/2025 |
| Last Update Date | 12/01/2025 |
| Certification Date | 12/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013879865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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