Individual
MRS. LESLIE JEAN BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4413 RIDGEWOOD CT, DUMFRIES, VA 22025-1124
(703) 680-0197
Mailing address
4413 RIDGEWOOD CT, DUMFRIES, VA 22025-1124
(703) 680-0197
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-16-20945
VA
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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