Individual
LEASIA FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46040 CENTER OAK PLZ STE 150, STERLING, VA 20166-6611
(703) 997-9494
Mailing address
46040 CENTER OAK PLZ STE 150, STERLING, VA 20166-6611
(703) 997-9494
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
VA
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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