Individual
AMADEUS YVEZ CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 ELDEN ST STE 302, HERNDON, VA 20170-4851
(703) 496-4371
Mailing address
131 ELDEN ST STE 302, HERNDON, VA 20170-4851
(703) 496-4371
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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