Provider Demographics
NPI:1184348427
Name:ELSAFTAWY, REEM
Entity type:Individual
Prefix:
First Name:REEM
Middle Name:
Last Name:ELSAFTAWY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7520 PURDUE CT # 7520
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-7232
Mailing Address - Country:US
Mailing Address - Phone:571-426-1447
Mailing Address - Fax:
Practice Address - Street 1:7520 PURDUE CT # 7520
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-7232
Practice Address - Country:US
Practice Address - Phone:571-426-1447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst