Individual
KATIE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7771 ASHTON AVE, MANASSAS, VA 20109-2879
(703) 492-2686
Mailing address
11604 BRIAN DR, FREDERICKSBURG, VA 22407-8691
(352) 210-0766
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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