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Individual

HOLLY TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
7771 ASHTON AVE, MANASSAS, VA 20109-2879
(703) 492-2686
Mailing address
9229 SPERRYVILLE PIKE, CULPEPER, VA 22701-5677
(703) 470-2959

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-154537
VA

Other

Enumeration date
04/26/2021
Last updated
04/26/2021
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