Individual
ININA PLUCER-ROSARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
12 MONUMENT DRIVE, STAFFORD, VA 22554
(808) 321-3860
Mailing address
16 CHARLESTON COURT, STAFFORD, VA 22554
(808) 321-3860
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000149
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0134000149
DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
04/12/2016
Last updated
04/12/2016
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