Individual
HAILLEY VORV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43893 LAUREL RIDGE DR, ASHBURN, VA 20147-2374
(202) 469-9131
Mailing address
43893 LAUREL RIDGE DR, ASHBURN, VA 20147-2374
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB717338
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BACB717338
BACB
VA
Enumeration date
02/24/2023
Last updated
02/24/2023
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