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Individual

MICHAEL NYMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
400 GIBBON ST, ALEXANDRIA, VA 22314-4132
(732) 492-4803
Mailing address
400 GIBBON ST, ALEXANDRIA, VA 22314-4132
(732) 492-4803

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28652
103TS0200X
School Psychologist

Other

Enumeration date
01/21/2018
Last updated
05/29/2019
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