Individual
JOANNA SUE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
6420 OLDE BULLOCKS CIR, SUFFOLK, VA 23435-2923
(703) 675-7465
Mailing address
11379 ARISTOTLE DR, APT 409, FAIRFAX, VA 22030-0948
(804) 896-5627
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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