Individual
JANET ELIZABETH BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
3020 HAMAKER CT, SUITE 200, FAIRFAX, VA 22031-2238
(703) 573-2432
Mailing address
3250 SCOTLAND RD, CHAMBERSBURG, PA 17202-9779
(717) 263-8953
(717) 263-0086
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1073226
VA
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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