Individual
AVERY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
6400 GROVEDALE DR STE 200, ALEXANDRIA, VA 22310-2504
(603) 801-0575
Mailing address
6400 GROVEDALE DR STE 200, ALEXANDRIA, VA 22310-2504
(603) 801-0575
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32167
—
Other
Enumeration date
06/20/2014
Last updated
11/04/2024
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