Organization
CHILD DEVELOPMENT ASSESSMENT AND THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET ELIZABETH BLACK M. ED. , BCBA (DIRECTOR)
(540) 842-3331
Entity
Organization
Contact information
Practice address
2217 PRINCESS ANNE ST, 204-1, FREDERICKSBURG, VA 22401-3353
(540) 940-2858
Mailing address
2217 PRINCESS ANNE STREET SUITE, 204-1, FREDERICKSBURG, VA 22401
(540) 940-2858
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
23578
VA
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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