Individual
MR. JEREMY CHAD TETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
6281 FRANCONIA RD, SUITE B, ALEXANDRIA, VA 22310-2586
(521) 249-4883
Mailing address
6281 FRANCONIA RD, SUITE B, ALEXANDRIA, VA 22310-2586
(521) 249-4883
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000733
VA
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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