Healthcare Provider Details

I. General information

NPI: 1205792108
Provider Name (Legal Business Name): MS. ANGE MAGNY TCHABEU NGATCHOU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2880 S ABINGDON ST
ARLINGTON VA
22206-1323
US

IV. Provider business mailing address

2880 S ABINGDON ST APT A2
ARLINGTON VA
22206-1323
US

V. Phone/Fax

Practice location:
  • Phone: 202-769-2092
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-314356
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: