Individual
MS. TESSA DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
5040 EISENHOWER AVE APT 114, ALEXANDRIA, VA 22304-4876
(814) 312-7825
Mailing address
5040 EISENHOWER AVE APT 114, ALEXANDRIA, VA 22304-4876
(814) 312-7825
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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