Individual
BRITTANY A FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10370 BATTLEVIEW PKWY, MANASSAS, VA 20109-2338
(571) 364-0440
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
A6277934
VA
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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