Individual
ALONZO DAVID HART III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6400 GROVEDALE DR STE 100, ALEXANDRIA, VA 22310-2504
(571) 290-0143
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
H-630-054-135-093
MD
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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