Healthcare Provider Details

I. General information

NPI: 1437069689
Provider Name (Legal Business Name): ZARI ABIJAH THOMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 LOFTIS BLVD
NEWPORT NEWS VA
23606-2999
US

IV. Provider business mailing address

819 ESTELLE CT
NEWPORT NEWS VA
23608-1195
US

V. Phone/Fax

Practice location:
  • Phone: 757-720-0099
  • Fax:
Mailing address:
  • Phone: 757-303-9753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberA60390578
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: