Individual
GENESIS RODRIGUEZ TORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11130 FAIRFAX BLVD STE 305, FAIRFAX, VA 22030-5035
(571) 918-9977
(571) 415-5459
Mailing address
11130 FAIRFAX BLVD STE 305, FAIRFAX, VA 22030-5035
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB980195
VA
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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