Individual
LAURA MARIE CHOLVIBUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA, LABA
Contact information
Practice address
7611 COPPERMINE DR, MANASSAS, VA 20109-2668
(703) 496-7804
Mailing address
7611 COPPERMINE DR, MANASSAS, VA 20109-2668
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000448
VA
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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