Individual
KATHERINE MARY HEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2729 MERRILEE DR APT 603, FAIRFAX, VA 22031-4438
(508) 395-0733
Mailing address
2729 MERRILEE DR APT 603, FAIRFAX, VA 22031-4438
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000871
VA
Other
Enumeration date
11/01/2016
Last updated
10/29/2019
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