Individual
BEVERLY C BAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43490 YUKON DR STE 104, ASHBURN, VA 20147-7302
(703) 936-2122
Mailing address
43490 YUKON DR STE 104, ASHBURN, VA 20147-7302
(703) 936-2122
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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