Individual
MR. JUN SEOK BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
7771 ASHTON AVE, MANASSAS, VA 20109-2879
(703) 492-2686
Mailing address
9010 OLD MAYLAND WAY, HENRICO, VA 23294-4661
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-254355
VA
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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