Provider Demographics
NPI:1689180754
Name:WAQAR, AYSHA
Entity Type:Individual
Prefix:
First Name:AYSHA
Middle Name:
Last Name:WAQAR
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 1:43819 KINGSTON STATION TER
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20148-2421
Mailing Address - Country:US
Mailing Address - Phone:703-865-9163
Mailing Address - Fax:
Practice Address - Street 1:43819 KINGSTON STATION TER
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20148-2421
Practice Address - Country:US
Practice Address - Phone:703-865-9163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-27
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician