Individual
LINDA EGBEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13969 ROCKLAND VILLAGE DR APT 103, CHANTILLY, VA 20151-4535
(571) 508-9163
Mailing address
13969 ROCKLAND VILLAGE DR APT 103, CHANTILLY, VA 20151-4535
(571) 508-9163
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
B66097148
VA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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