Individual
LISA L AVEDICIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1641 BELCHER MOUNTAIN RD, MEADOWS OF DAN, VA 24120-3672
(540) 840-9285
Mailing address
15 INDIAN WOOD LN, FREDERICKSBURG, VA 22405-1834
(717) 994-8435
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-04936
VA
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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