Individual
BRIAN BOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4530 WALNEY RD STE 105, CHANTILLY, VA 20151-2285
(619) 795-9925
Mailing address
4730 GAINSBOROUGH DR, FAIRFAX, VA 22032-2379
(703) 472-3987
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/12/2024
Last updated
10/12/2024
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