Individual
ELIZABETH BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, BCBA, LBA
Contact information
Practice address
11905 BOWMAN DR STE 507, FREDERICKSBURG, VA 22408-7344
(540) 395-9962
(703) 852-3029
Mailing address
212 MONUMENT RD, LOCUST GROVE, VA 22508-5156
(339) 223-7371
(703) 852-3029
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000901
VA
103K00000X
Behavior Analyst
1-13-14294
MA
Other
Enumeration date
03/07/2014
Last updated
10/20/2017
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