Healthcare Provider Details

I. General information

NPI: 1457207763
Provider Name (Legal Business Name): SUHAD ABDALLAH BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7918 JONES BRANCH DR
MC LEAN VA
22102-3337
US

IV. Provider business mailing address

7918 JONES BRANCH DR
MC LEAN VA
22102-3337
US

V. Phone/Fax

Practice location:
  • Phone: 703-663-4808
  • Fax: 844-764-4499
Mailing address:
  • Phone: 703-663-4808
  • Fax: 844-764-4499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0133001643
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: