Individual
ATHANIEL PATRICK SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9789 PHAIR WAY, MANASSAS, VA 20110-7859
(571) 535-2344
Mailing address
9789 PHAIR WAY, MANASSAS, VA 20110-7859
(571) 535-2344
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25425004
VA
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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