Individual
BERNICE BOATENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1651 OLD MEADOW RD, MC LEAN, VA 22102-4311
(703) 506-0123
Mailing address
17513 DENALI PL, DUMFRIES, VA 22025-1973
(571) 225-7202
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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