Individual
LARRY HAYGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9789 PHAIR WAY, MANASSAS, VA 20110-7859
(571) 535-2344
Mailing address
9789 PHAIR WAY, MANASSAS, VA 20110-7859
(571) 535-2344
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004904
VA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
03/03/2026
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