Individual
BREANNA K JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11200 WAPLES MILL RD STE 100, FAIRFAX, VA 22030-7475
(703) 237-2219
(703) 237-2729
Mailing address
7924 MOBILE AVE, BURBANK, IL 60459-1856
(773) 319-2379
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-155828
IL
Other
Enumeration date
05/02/2021
Last updated
05/02/2021
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