Individual
DANIELA MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1964 GALLOWS RD STE 280, VIENNA, VA 22182-3877
(571) 533-3456
Mailing address
2157 EVANS CT APT 203, FALLS CHURCH, VA 22043-2133
(407) 970-0397
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-278980
VA
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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