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General NPI Number Information
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NPI Number | 1932808235
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Entity Type | Organization
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Legal Business Name | ARK AUTISM BEHAVIOR THERAPY
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 01/03/2026
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Provider Practice Location Address
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Address Line | 661 E MAIN ST
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City | ABINGDON
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State | VA
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Zip | 24210-2339
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Country | US
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Telephone | 571-343-9182
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Fax | 571-316-1385
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Provider Business Mailing Address
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Address Line | 13137 THRIFT LN
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City | WOODBRIDGE
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State | VA
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Zip | 22193-6102
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Country | US
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Telephone | 571-343-9182
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Fax | 571-316-1385
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MR. WAKIL QARAR
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Credential | OWNER/ADMINISTRATOR
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Telephone | 571-343-9182
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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 |
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License Number State |
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