Organization
PEDIATRIC THERAPY STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CORRENTE (ABA THERAPIST)
(732) 312-3090
Entity
Organization
Contact information
Practice address
2106 GALLOWS RD, SUITE E, VIENNA, VA 22182-3961
(571) 766-8455
Mailing address
1201 S COURTHOUSE RD, #332, ARLINGTON, VA 22204-0812
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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