SearchVirginia103K00000X

Mia Azotea, BCABA

NPI 1437664364 · on the registry since 2017

Practice

Address
10640 Page Ave
Fairfax, VA 22030
Phone
(719) 755-9072
Organisation at this address
Genetix Iq Inc
Kaste Counseling
Autism Rising Collective Llc
Autism Reimagined Center Llc
Fairfax Integrative Therapy, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
103K00000X
103K00000X
Sex
Female
Record last updated
2025-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia