Individual
KRISTIAN EDWARD CLEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44933 GEORGE WASHINGTON BLVD STE 115, ASHBURN, VA 20147-6301
(305) 846-9807
(305) 846-9711
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/27/2021
Last updated
02/27/2021
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