Individual
LAUREN FUREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 RICKETTS DR, WINCHESTER, VA 22601-3676
(540) 535-1112
Mailing address
36 RICKETTS DR, WINCHESTER, VA 22601-3676
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-56931
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-56931
REGISTERED BEHAVIOR TECHNICIAN
VA
Enumeration date
10/08/2019
Last updated
10/08/2019
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