Individual
JEANETTE HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11240 WAPLES MILL RD, 101, FAIRFAX, VA 22030-6078
(631) 385-7780
Mailing address
43804 CENTRAL STATION DR, 232, ASHBURN, VA 20147-7383
(703) 944-5869
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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