Mahan, Kathleen

Mahan, Kathleen is an individual health care provider with primary practice located at 5500 Tramore Ct , Fairfax VA 22032-3126. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mahan, Kathleen can be contacted via phone (703) 409-9693.

Contact Information

Primary practice address
5500 Tramore Ct Fairfax VA 22032-3126
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 1500605 Virginia

Profile Details

NPI number 1467989590
LBN Legal business name Mahan, Kathleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2017
Last updated Jul 21st, 2022 - about 2 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.

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