Organization
REVIVE AID, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA MILLER (OWNER)
(571) 580-4636
Entity
Organization
Contact information
Practice address
12411 MIDSUMMER LN APT B201, WOODBRIDGE, VA 22192-6703
(571) 580-4636
Mailing address
12411 MIDSUMMER LN APT B201, WOODBRIDGE, VA 22192-6703
(571) 580-4636
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
03/23/2026
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