Anoushka Basu Mallik, RBT

NPI #1104328582 in Mc Lean, Virginia

Provider Information

NPI Number: 1104328582
Entity Type: Individual
Name: Anoushka Basu Mallik, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Mar 1, 2018
Last Updated: Mar 1, 2018

Practice Location

Address: 1651 OLD MEADOW RD
City: Mc Lean
State: Virginia
ZIP Code: 22102-4311
Phone: (703) 506-0123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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