Individual
AMANDA FERREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10530 WARWICK AVE STE C2, FAIRFAX, VA 22030-3132
(703) 994-4754
Mailing address
10530 WARWICK AVE STE C2, FAIRFAX, VA 22030-3132
(703) 994-4754
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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