Homeira Fallahi
Behavior Technician in Vienna, VA. Individual provider (NPI-1).
NPI number1104512722
StatusActive
Last updated in NPPESApr 17, 2023
Details
- NPI
- 1104512722
- Entity type
- Individual (NPI-1)
- Name
- Homeira Fallahi
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2023
- Certification date
- Apr 16, 2023
- Last updated
- Apr 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 22246121 | VA | Yes |
Practice location
602 Plum St SwVienna, VA 22180-6328
Phone 571-635-9349
Mailing address
602 Plum St SwVienna, VA 22180-6328
Phone 571-635-9349
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