Individual
TYLER LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
120 BELLVIEW AVE, WINCHESTER, VA 22601-3142
(540) 542-0200
Mailing address
710 WOODSTOCK LN, WINCHESTER, VA 22601-5563
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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