Individual
EMILY ANNE KOHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5415 BACKLICK RD, SPRINGFIELD, VA 22151-3915
(703) 941-1910
Mailing address
5415 BACKLICK RD, SPRINGFIELD, VA 22151-3915
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-364652
VA
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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