Individual
CEAIRRA SHAYNELL JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4141 N HENDERSON RD STE 8, ARLINGTON, VA 22203-2485
(866) 565-7222
(877) 734-1914
Mailing address
2 VILLAGE SQ STE 210, BALTIMORE, MD 21210-1624
(866) 565-7222
(877) 734-1914
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
16505
VA
Other
Enumeration date
05/13/2019
Last updated
12/14/2023
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