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Individual

MARCIA HEIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11905 BOWMAN DR STE 507, FREDERICKSBURG, VA 22408-7344
(540) 395-9962
Mailing address
212 MONUMENT RD, LOCUST GROVE, VA 22508-5156

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0
N/A
Enumeration date
03/31/2022
Last updated
02/13/2024
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