Individual
JAMES EDWARD DANIEL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2847 DUKE ST, ALEXANDRIA, VA 22314-4512
(703) 870-3880
Mailing address
2433 GLENGYLE DR, VIENNA, VA 22181-5521
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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