Individual
ANTOINE RASHAD BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11240 WAPLES MILL RD, SUITE 101, FAIRFAX, VA 22030-6078
(703) 237-2219
(703) 237-2729
Mailing address
4301 WHEELER RD SE, APT 104, WASHINGTON, DC 20032-6037
(202) 848-9503
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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