Individual
BETHLEHEM SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10340 DEMOCRACY LN, FAIRFAX, VA 22030-2518
(571) 386-0871
Mailing address
4506 MAXFIELD DR, ANNANDALE, VA 22003-3528
(571) 451-3818
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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