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Individual

JEMIMA LARYEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
188 OVILLE RD, STAFFORD, VA 22556-2261
(774) 670-2790
Mailing address
14109 COVE LANDING DR, WOODBRIDGE, VA 22191-2261
(774) 670-2790

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/28/2024
Last updated
08/29/2024
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