Jamila Nicole H Mysorewala

NPI #1386084994 in Mc Lean, Virginia

Provider Information

NPI Number: 1386084994
Entity Type: Individual
Name: Jamila Nicole H Mysorewala
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 27, 2013
Last Updated: Jan 1, 2019

Practice Location

Address: 1651 OLD MEADOW RD
Address 2: SUITE 600
City: Mc Lean
State: Virginia
ZIP Code: 22102-4311
Phone: (305) 926-3811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Behavior Analyst	103K00000X	Primary

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