OrganizationActive
Axiom Link
NPI 1871861245 · Early Intervention Provider Agency · Fairfax, VA
Provider details
- NPI number
- 1871861245
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Julia Matuza, Ceo(718) 762-7633
Specialties & taxonomies
Agencies
Practice location
11240 Waples Mill Rd
Suite 101
Fairfax, VA 22030
Phone: (703) 237-2219
Fax: (703) 237-2729
Approximate (ZIP-level) locationGet directions
Mailing address
11240 Waples Mill Rd
Fairfax, VA 22030
Registry dates
- Enumerated
- 2011-12-13
- Last updated
- 2015-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.