Individual
JANELLE HYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 S CAMERON ST, WINCHESTER, VA 22601-4603
(571) 208-0592
Mailing address
281 TIMBERLAKES LN, CLEAR BROOK, VA 22624-1604
(540) 303-5058
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12391
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173629418
—
VA
Enumeration date
06/22/2017
Last updated
06/22/2017
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