Provider Demographics
NPI:1750097184
Name:ALJALOUD, OHUD (RBT)
Entity type:Individual
Prefix:
First Name:OHUD
Middle Name:
Last Name:ALJALOUD
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 S CLARK ST APT 903
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-5254
Mailing Address - Country:US
Mailing Address - Phone:267-386-6826
Mailing Address - Fax:
Practice Address - Street 1:2221 S CLARK ST APT 903
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-5254
Practice Address - Country:US
Practice Address - Phone:267-386-6826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VARBT-22-249940106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician