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Individual

MRS. BECKY GRUETZMACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED, BCBA, LBA

Contact information

Practice address
20130 LAKEVIEW CENTER PLZ, SUITE 400, ASHBURN, VA 20147-5904
(703) 789-4662
Mailing address
20130 LAKEVIEW CENTER PLZ, SUITE 400, ASHBURN, VA 20147-5904
(703) 789-4662

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000741
VA

Other

Enumeration date
05/24/2016
Last updated
08/25/2016
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