Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JEAN SYLVAIN ATEBA ONDOUA

Active Sole Proprietor

Intellectual Disabilities Residential Treatment Facility · MANASSAS PARK, VA

Registration Details

NPI Number: 1760104863
Provider Type: Individual
Gender: Male
NPI Issued: Sep 15, 2022 (3.5991243790619 yrs)
Last Updated: Sep 15, 2022
License: 3567 (VA)
Sole Proprietor: Yes

Practice Information

Address: 9229 MATTHEW DR

MANASSAS PARK, VA, 201112451
Browse VA providers · Browse ZIP 20111
Phone: 2404234691
Fax: 4437731367
Primary Specialty: Intellectual Disabilities Residential Treatment Facility
320600000X

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.