MEDICARE: SUHAD ABDALLAH BCBA

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
1	103K00000X	Behavior Analyst	0133001643	VA

General Provider Information

NPI Number	:	1457207763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUHAD ABDALLAH BCBA

Provider Business Mailing Address
First Line	:	7918 JONES BRANCH DR
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-3337
Country	:	US
Telephone Number	:	703-663-4808
Fax Number	:	844-764-4499

Provider Business Practice Location Address
First Line	:	7918 JONES BRANCH DR
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-3337
Country	:	US
Telephone Number	:	703-663-4808
Fax Number	:	844-764-4499

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “ SUHAD ABDALLAH BCBA” Practice Location

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