Provider Demographics
NPI:1023511128
Name:SENDI, MEHREZ (BCBA)
Entity type:Individual
Prefix:MR
First Name:MEHREZ
Middle Name:
Last Name:SENDI
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 YELLOW LILY DR APT 304
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-5671
Mailing Address - Country:US
Mailing Address - Phone:571-356-4056
Mailing Address - Fax:
Practice Address - Street 1:7601 YELLOW LILY DR APT 304
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-5671
Practice Address - Country:US
Practice Address - Phone:571-356-4056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-14
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133002829103K00000X
103K00000X
VA1-22-62973103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty