Individual
KURTIS GOAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
7730 DONEGAN DR, MANASSAS, VA 20109-2868
(571) 208-0592
Mailing address
7550 EMERALD DR, MANASSAS, VA 20109-6442
(703) 229-7034
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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