Individual
MRS. AMANDA FAITH BOETTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5155 WOODFIELD DR, CENTREVILLE, VA 20120-4124
(703) 830-1953
Mailing address
5155 WOODFIELD DR, CENTREVILLE, VA 20120-4124
(703) 830-1953
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-07-2282
VA
Other
Enumeration date
10/10/2008
Last updated
05/29/2009
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