Individual
SHANNA GAIRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 STRETTON FARM CT, WOODBRIDGE, VA 22192-5564
(678) 939-9070
Mailing address
4301 STRETTON FARM CT, WOODBRIDGE, VA 22192-5129
(678) 939-9070
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004073
VA
Other
Enumeration date
01/23/2020
Last updated
01/06/2025
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