Stephan Nessim Al-Khateeb, M.Ed.
Behavior Technician in Fairfax, VA. Individual provider (NPI-1).
NPI number1164055232
StatusActive
Last updated in NPPESMar 4, 2020
Details
- NPI
- 1164055232
- Entity type
- Individual (NPI-1)
- Name
- Stephan Nessim Al-Khateeb
- Credential
- M.Ed.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 18, 2020
- Certification date
- Mar 4, 2020
- Last updated
- Mar 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 106E00000X | Assistant Behavior Analyst | – | – |
Practice location
11200 Waples Mill Rd Ste 100Fairfax, VA 22030-7475
Phone 571-585-3999
Mailing address
11200 Waples Mill Rd Ste 100Fairfax, VA 22030-7475
Phone 571-585-3999
Other practice locations
11240 Waples Mill Rd Ste 101
Fairfax, VA 22030-6078
Fairfax, VA 22030-6078
Phone 703-237-2219 · Fax 703-237-2729
11200 Waples Mill Rd Ste 200
Fairfax, VA 22030-7551
Fairfax, VA 22030-7551
Phone 703-237-2219
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