Individual
HEATHER ELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,BCBA,LBA
Contact information
Practice address
802 NATIONAL AVE, WINCHESTER, VA 22601-5519
(540) 336-7016
Mailing address
802 NATIONAL AVE, WINCHESTER, VA 22601-5519
(540) 336-7016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000641
VA
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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