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General NPI Number Information
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NPI Number | 1548734064
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Entity Type | Individual
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Provider Name | LIZNA KHIMANI BCBA
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Gender | Female
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Dates
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Enumeration Date | 01/17/2019
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Last Update Date | 06/19/2022
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Provider Practice Location Address
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Address Line | 3445 BERKELEY ST APT 242
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City | ALEXANDRIA
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State | VA
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Zip | 22302-1287
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Country | US
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Telephone | 804-728-8827
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Fax |
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Provider Business Mailing Address
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Address Line | 14497 POTOMAC MILLS RD # 1013
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City | WOODBRIDGE
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State | VA
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Zip | 22192-6807
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Country | US
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Telephone | 703-386-6070
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-49271
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BCABA-18-6155-140249
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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