Individual
STEPHANIE MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
7844 CEDAR BRANCH DR, GAINESVILLE, VA 20155-1991
(703) 864-1300
Mailing address
7844 CEDAR BRANCH DR, GAINESVILLE, VA 20155-1991
(703) 864-1300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000503
VA
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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