Provider Demographics
NPI:1326407040
Name:SEBAI, JOUD
Entity Type:Individual
Prefix:
First Name:JOUD
Middle Name:
Last Name:SEBAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5272 RIVER RD
Mailing Address - Street 2:300
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20816-1405
Mailing Address - Country:US
Mailing Address - Phone:301-718-1716
Mailing Address - Fax:301-718-1766
Practice Address - Street 1:5272 RIVER RD
Practice Address - Street 2:300
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20816-1405
Practice Address - Country:US
Practice Address - Phone:301-718-1716
Practice Address - Fax:301-718-1766
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000717103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst