IndividualActive
Aleo Kamara
NPI 1659845691 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Annandale, VA
Provider details
- NPI number
- 1659845691
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3042 (VA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 3042 (VA)
Residential Treatment Facilities
Practice location
4810 Bradford Dr
Annandale, VA 22003-5539
Phone: (703) 863-7952
Approximate (ZIP-level) locationGet directions
Mailing address
4810 Bradford Dr
Annandale, VA 22003-5539
Registry dates
- Enumerated
- 2019-01-13
- Last updated
- 2019-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.