Provider Demographics
NPI:1770150971
Name:AUTISM BEHAVIOR THERAPIES
Entity type:Organization
Organization Name:AUTISM BEHAVIOR THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAID AGHA
Authorized Official - Middle Name:
Authorized Official - Last Name:TARAKHAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-505-7340
Mailing Address - Street 1:13160 PIEDMONT VISTA DR
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169-2642
Mailing Address - Country:US
Mailing Address - Phone:571-505-7340
Mailing Address - Fax:
Practice Address - Street 1:13160 PIEDMONT VISTA DR
Practice Address - Street 2:
Practice Address - City:HAYMARKET
Practice Address - State:VA
Practice Address - Zip Code:20169-2642
Practice Address - Country:US
Practice Address - Phone:571-505-7340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty