Individual
ALLYSON WHARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
185 REAS FORD RD, EARLYSVILLE, VA 22936-2406
(434) 960-9828
Mailing address
4170 HUFF HOLLOW RD, EARLYSVILLE, VA 22936-2466
(434) 960-9828
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001533
VA
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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