Individual
MR. JASON TODD BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
66 TIMBEROAK CT, LYNCHBURG, VA 24502-3459
(434) 515-0877
Mailing address
3600 WEEPING WILLOW DR APT D, LYNCHBURG, VA 24501-3982
(434) 333-5301
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003942
VA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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