Individual
JAMES JEFFERSON VERCOUTEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
3024 FOREST HILLS CIR, LYNCHBURG, VA 24501-2312
(866) 565-7222
(877) 734-1914
Mailing address
2 VILLAGE SQ, STE 210, BALTIMORE, MD 21210-1624
(866) 565-7222
(877) 734-1914
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-319146
VA
Other
Enumeration date
09/05/2019
Last updated
01/23/2024
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