Provider Demographics
NPI:1134888696
Name:ULLAH, SAKINA
Entity type:Individual
Prefix:
First Name:SAKINA
Middle Name:
Last Name:ULLAH
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 1:2050 OLD BRIDGE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-2484
Mailing Address - Country:US
Mailing Address - Phone:571-344-4085
Mailing Address - Fax:571-408-4966
Practice Address - Street 1:2050 OLD BRIDGE RD STE 200
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2484
Practice Address - Country:US
Practice Address - Phone:703-344-4085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-13
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician