MEDICARE: SENSORY ANGELS ABA

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	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1538010954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENSORY ANGELS ABA

Provider Business Mailing Address
First Line	:	7385 RODEO CT
Second Line	:
City	:	ANNANDALE
State	:	VA
Zip	:	22003-2577
Country	:	US
Telephone Number	:	571-550-5211
Fax Number	:

Provider Business Practice Location Address
First Line	:	7385 RODEO CT
Second Line	:
City	:	ANNANDALE
State	:	VA
Zip	:	22003-2577
Country	:	US
Telephone Number	:	571-550-5211
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. FAEZEH AKBAR
Credential	:
Telephone Number	:	571-550-5211

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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