Individual
BRIELLE TAYLOR LOEFFLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 OLD MEADOW RD, MC LEAN, VA 22102-4311
(877) 504-4141
Mailing address
40 CHAPMAN BLVD APT D8, SOMERS POINT, NJ 08244-1638
(609) 457-0546
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-70981
NJ
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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