| Northern Virginia Autism Therapy Llc | |
|
8300 Boone Blvd Ste 500 Vienna VA 22182-2681 | |
| (571) 409-8841 | |
| Not Available |
| Full Name | Northern Virginia Autism Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8300 Boone Blvd Ste 500, Vienna, Virginia |
| Authorized Official Name and Position | Fara Marz Siddiqui (OWNER) |
| Authorized Official Contact | 5714098841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Virginia Autism Therapy Llc 3399 Bountiful Ln Woodbridge VA 22193-5538 Ph: (571) 409-8841 | Northern Virginia Autism Therapy Llc 8300 Boone Blvd Ste 500 Vienna VA 22182-2681 Ph: (571) 409-8841 |
| NPI Number | 1932082583 |
|---|---|
| Provider Enumeration Date | 07/30/2025 |
| Last Update Date | 07/30/2025 |
| Certification Date | 07/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932082583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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