Individual
CODY PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9833 PATRIOT HWY, FREDERICKSBURG, VA 22407-9422
(540) 710-3911
Mailing address
906 FORBES ST, FREDERICKSBURG, VA 22405-2017
(540) 710-3911
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
21-164927
VA
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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