Individual
JOSEPH IVAN MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8230 LEESBURG PIKE STE 740, VIENNA, VA 22182-2641
(877) 504-4141
(703) 348-3267
Mailing address
4785 WELLESLEY DR, WOODBRIDGE, VA 22192-5731
(571) 314-3046
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71903
VA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/14/2020
Last updated
03/28/2024
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