Individual
NICOLE GEISSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
9379 FORESTWOOD LN, MANASSAS, VA 20110-4760
(703) 909-9332
(571) 292-1703
Mailing address
PO BOX 2393, MANASSAS, VA 20108-0841
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002882
VA
106E00000X
Assistant Behavior Analyst
0134000453
VA
Other
Enumeration date
07/14/2022
Last updated
09/21/2023
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