Individual
ANJELISE VELEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1964 GALLOWS RD, VIENNA, VA 22182-3814
(571) 533-3456
Mailing address
1964 GALLOWS RD STE 182, VIENNA, VA 22182-3814
(571) 533-3456
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-526043
VA
Other
Enumeration date
04/11/2026
Last updated
04/11/2026
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