Organization
FOUNDATIONAL INTERVENTION AND THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON PATTERSON MCGLOHN BCBA (OWNER/BCBA)
(804) 815-1259
Entity
Organization
Contact information
Practice address
7082 WELLFORD LN, GLOUCESTER, VA 23061-5113
(804) 815-1259
(804) 694-0694
Mailing address
7082 WELLFORD LN, GLOUCESTER, VA 23061-5113
(804) 815-1259
(804) 694-0694
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22944
VA
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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