Individual
KATHARINE M ALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11200 WAPLES MILL RD STE 100, FAIRFAX, VA 22030-7475
(703) 237-2219
(703) 237-2729
Mailing address
471 NORTHRIDGE RD, RUCKERSVILLE, VA 22968-3647
(434) 466-7586
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53738
VA
106S00000X
Behavior Technician
—
VA
Other
Enumeration date
04/19/2018
Last updated
10/27/2021
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