Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jean Sylvain Ateba Ondoua

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1760104863

Mr. Jean Sylvain Ateba Ondoua is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Manassas Park, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2022

Practice location Address checks out

9229 Matthew Dr
Manassas Park, VA 20111-2451
Phone: (240) 423-4691
Fax: (443) 773-1367
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 3567 (VA)

Record details

NPI number1760104863
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 15, 2022
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022

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