Individual
MR. JONATHAN GACHARNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 LYNNHAVEN PKWY, VIRGINIA BEACH, VA 23452-7332
(757) 301-9065
Mailing address
43798 BALLYBUNION TER, LEESBURG, VA 20176-7445
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-182826
VA
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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