Healthcare Provider Details

I. General information

NPI: 1932808235
Provider Name (Legal Business Name): ARK AUTISM BEHAVIOR THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2023
Last Update Date: 01/03/2026
Certification Date: 01/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 E MAIN ST
ABINGDON VA
24210-2339
US

IV. Provider business mailing address

13137 THRIFT LN
WOODBRIDGE VA
22193-6102
US

V. Phone/Fax

Practice location:
  • Phone: 571-343-9182
  • Fax: 571-316-1385
Mailing address:
  • Phone: 571-343-9182
  • Fax: 571-316-1385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MR. WAKIL QARAR
Title or Position: OWNER/ADMINISTRATOR
Credential: OWNER/ADMINISTRATOR
Phone: 571-343-9182