Individual
JEAN-PAUL DESROSIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2603 HUNTINGTON AVE, ALEXANDRIA, VA 22303-1405
(571) 421-6057
Mailing address
2603 HUNTINGTON AVE, ALEXANDRIA, VA 22303-1405
(571) 421-6057
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-251543
VA
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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