Individual
STEPHANIE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5400 SHAWNEE RD, SUITE 208, ALEXANDRIA, VA 22312-2300
(703) 750-0633
(703) 750-6555
Mailing address
19019 VENTURA BLVD, SUITE 300, TARZANA, CA 91356-3253
(818) 345-2345
(818) 758-8015
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-14-6382
VA
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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