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Organization

AUTISM BEHAVIOR THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GRACE CHO PH.D. (PROGRAM DIRECTOR)
(703) 678-9497
Entity
Organization

Contact information

Practice address
5750 DRAKE CT, #371, ALEXANDRIA, VA 22311-5750
(703) 678-9497
(571) 312-4642
Mailing address
5750 DRAKE CT, #371, ALEXANDRIA, VA 22311-5750
(703) 678-9497
(571) 312-4642

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000299
VA

Other

Enumeration date
03/05/2015
Last updated
03/05/2015
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