Individual
ALLEAH BASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10340 DEMOCRACY LN STE 102B103, FAIRFAX, VA 22030-2518
(571) 386-0871
Mailing address
10340 DEMOCRACY LN STE 102B103, FAIRFAX, VA 22030-2518
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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