Individual
CHERYL BASHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 HOPE RD STE 215, STAFFORD, VA 22554-7287
(866) 311-4617
Mailing address
183 SEQUESTER DR, STAFFORD, VA 22556-6244
(540) 505-1994
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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