Individual
SERENA MARY BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,QMHP, QASP-S, RBT
Contact information
Practice address
8405 RICHMOND HWY STE E, ALEXANDRIA, VA 22309-2425
(703) 595-5664
(571) 503-9992
Mailing address
2804 CAPRI DR, FORT WASHINGTON, MD 20744-2211
(707) 208-6435
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-20-146508
VA
Other
Enumeration date
01/02/2023
Last updated
12/19/2024
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