Individual
NADEZHDA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12009 MASON DR, QUANTICO, VA 22134-2083
(802) 233-0612
Mailing address
12009 MASON DR, QUANTICO, VA 22134-2083
(802) 233-0612
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
260
MA
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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