Individual
ADAM EASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 N PAXTON ST, ALEXANDRIA, VA 22304-2737
(703) 864-0017
Mailing address
2729 MERRILEE DR APT 325, FAIRFAX, VA 22031-4432
(540) 695-3094
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
09/02/2021
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