Abedrabo, Mariam K
Abedrabo, Mariam K is an individual health care provider with primary practice located at 22375 Broderick Dr Ste 125 , Sterling VA 20166-9345. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Abedrabo, Mariam K can be contacted via phone (571) 375-0214.Contact Information
Primary practice address
22375 Broderick Dr Ste 125
Sterling VA 20166-9345
Phone: (571) 375-0214
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1972268456 |
|---|---|
| LBN Legal business name | Abedrabo, Mariam K |
| Credentials | BS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2021 |
| Last updated | Nov 1st, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972268456 | NPPES |
| Other | 711084462 | KAISER PERMANENTE |
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