Individual
SHAWNITA AMBER COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 NEABSCO COMMON PL APT 242, WOODBRIDGE, VA 22191-6779
(571) 991-8769
Mailing address
2700 NEABSCO COMMON PL APT 242, WOODBRIDGE, VA 22191-6779
(571) 991-8769
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
VA
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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