Individual
JOAN IGNACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6167 TALK PL, WOODBRIDGE, VA 22193-4188
(718) 215-5311
(718) 865-5165
Mailing address
6167 TALK PL, WOODBRIDGE, VA 22193-4188
(718) 215-5311
(718) 865-5165
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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