Individual
ALLISON KUTNER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
3705 BEVAN DR, FAIRFAX, VA 22030-4812
(703) 400-3035
Mailing address
3705 BEVAN DR, FAIRFAX, VA 22030-4812
(703) 400-3035
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1084301
VA
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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