Individual
GEORGIA PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
504 MEWS CT, STAFFORD, VA 22556-3894
(571) 337-3757
Mailing address
504 MEWS CT, STAFFORD, VA 22556-3894
(571) 337-3757
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004034
VA
Other
Enumeration date
10/27/2021
Last updated
12/12/2024
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