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Individual

GIANNI SALVATORE KUBANCIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7960 DONEGAN DR STE 200, MANASSAS, VA 20109-8236
(571) 229-3159
Mailing address
13160 BOURNE PL, BRISTOW, VA 20136-1029
(571) 229-3159

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
VA

Other

Enumeration date
07/21/2026
Last updated
07/21/2026
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