Individual
MR. JAMAR PRIDGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
2406 BROOKMOOR LN, WOODBRIDGE, VA 22191-4031
(703) 881-2810
Mailing address
2406 BROOKMOOR LN, WOODBRIDGE, VA 22191-4031
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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