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Organization
OLD TOWN ABA, LLC
Active
Organization
OLD TOWN ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL NICOLE EVANS BCBA (OWNER)
(703) 727-9417
Entity
Organization
Contact information
Practice address
111 NEVERMORE DRIVE, WINCHESTER, VA 22602
(703) 727-9417
Mailing address
111 NEVERMORE DRIVE, WINCHESTER, VA 22602
(703) 727-9417
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
04/30/2021
Last updated
04/26/2022
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