Provider Demographics
NPI:1649011362
Name:FAQIRZAI, ABDUL BAIS
Entity type:Individual
Prefix:
First Name:ABDUL BAIS
Middle Name:
Last Name:FAQIRZAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10742 HINTON WAY
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20112-5897
Mailing Address - Country:US
Mailing Address - Phone:571-518-6881
Mailing Address - Fax:571-518-6881
Practice Address - Street 1:10742 HINTON WAY
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20112-5897
Practice Address - Country:US
Practice Address - Phone:571-518-6881
Practice Address - Fax:571-518-6881
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VARBT-23-297290103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst