Individual
MARY COLLEEN MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
802 W 14TH ST FRNT ROYAL, FRONT ROYAL, VA 22630-2918
(571) 435-5947
Mailing address
8934 CHIANTI TER, BRISTOW, VA 20136-5804
(571) 435-5947
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001974
VA
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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