Provider Demographics
NPI:1063110633
Name:QARAR, WAKIL AHMAD (RBT)
Entity type:Individual
Prefix:
First Name:WAKIL
Middle Name:AHMAD
Last Name:QARAR
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13137 THRIFT LN
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-6102
Mailing Address - Country:US
Mailing Address - Phone:571-343-9182
Mailing Address - Fax:
Practice Address - Street 1:13137 THRIFT LN
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-6102
Practice Address - Country:US
Practice Address - Phone:571-343-9182
Practice Address - Fax:571-316-1385
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-22
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VARBT-20-139250106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician