Individual
MRS. BROOKE FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
500 W JUBAL EARLY DR, WINCHESTER, VA 22601-6507
(540) 431-5651
Mailing address
225 BURGESS LN, CLEAR BROOK, VA 22624-1690
(570) 594-5651
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000619
VA
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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