Individual
JEANNETTE CAZARES SHOOSHTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3660 WHEELER AVE STE A, ALEXANDRIA, VA 22304-6403
(703) 870-3380
Mailing address
2423 S ORANGE AVE # 353, ORLANDO, FL 32806-4543
(703) 870-3880
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002136
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30016807140002
—
VA
Enumeration date
12/17/2018
Last updated
04/23/2025
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