Individual
FLAVIA GUSMAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21495 RIDGETOP CIR STE 202, STERLING, VA 20166-6512
(571) 449-6281
Mailing address
21495 RIDGETOP CIR, STERLING, VA 20166-8520
(571) 449-6281
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
12/09/2019
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