Individual
NICKETA VESTERIA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7730 DONEGAN DR, MANASSAS, VA 20109-2868
(571) 208-0592
Mailing address
8184 COMMUNITY DR, MANASSAS, VA 20109-3551
(571) 316-6536
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-18-59210
VA
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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