Aisha Imtiaz

NPI #1669062006 in Sterling, Virginia

Provider Information

NPI Number: 1669062006
Entity Type: Individual
Name: Aisha Imtiaz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 20, 2021
Last Updated: Jan 20, 2021

Practice Location

Address: 22375 BRODERICK DR STE 125
City: Sterling
State: Virginia
ZIP Code: 20166-9345
Phone: (571) 425-5171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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