Individual
ALLISON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 MAPLE AVE W STE 330, VIENNA, VA 22180-4301
(571) 533-3456
Mailing address
950 S GEORGE MASON DR APT 437, ARLINGTON, VA 22204-1785
(616) 240-2647
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-218168
VA
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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