Organization
FLY WHEEL CENTER VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHRAGA F WAXMAN (OWNER)
(347) 661-6533
Entity
Organization
Contact information
Practice address
44 CANAL CENTER PLZ, ALEXANDRIA, VA 22314-1592
(347) 661-6533
Mailing address
174 WHITE ST, LAKEWOOD, NJ 08701-4054
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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