Individual
DAVID MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
305 N ALDER AVE, STERLING, VA 20164-4013
(267) 671-7977
Mailing address
305 N ALDER AVE, STERLING, VA 20164-4013
(267) 671-7977
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-165724
VA
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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