Individual
SUSAN GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., B.C.B.A.
Contact information
Practice address
5632 MOUNT VERNON MEMORIAL HWY, ALEXANDRIA, VA 22309-1502
(703) 766-8708
Mailing address
525 BELMONT BAY DR, #406, WOODBRIDGE, VA 22191-5476
(703) 766-8708
(703) 766-8713
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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