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NPI Code Detail

MEDICARE: SADIE LOUISE ADIMI

MEDICARE:   SADIE LOUISE ADIMI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst0133003883VA

General Provider Information

NPI Number : 1437771342
Entity Type Code : Individual
Provider Name (Legal Business Name) : SADIE LOUISE ADIMI
Provider Business Mailing Address
First Line : 1410 SPRING HILL RD STE 305
Second Line :
City : MC LEAN
State : VA
Zip : 22102-3020
Country : US
Telephone Number : 240-342-2666
Fax Number : 833-220-8662
Provider Business Practice Location Address
First Line : 14428 ALBEMARLE POINT PL STE 150B
Second Line :
City : CHANTILLY
State : VA
Zip : 20151-1752
Country : US
Telephone Number : 240-342-2666
Fax Number : 833-220-8662
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2020
Last Update Date : 11/05/2025

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Directions to “ SADIE LOUISE ADIMI ” Practice Location

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