Provider Demographics
NPI:1811794365
Name:SABER, WIDA
Entity type:Individual
Prefix:
First Name:WIDA
Middle Name:
Last Name:SABER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 SEMINARY RD APT N-1741
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-3530
Mailing Address - Country:US
Mailing Address - Phone:157-145-7949
Mailing Address - Fax:
Practice Address - Street 1:2600 PARK TOWER DR
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-7342
Practice Address - Country:US
Practice Address - Phone:571-282-0092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician