Individual
CHADIA MIRAGE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S COLUMBUS ST, ARLINGTON, VA 22204-3354
(571) 263-4569
Mailing address
1500 S COLUMBUS ST, ARLINGTON, VA 22204-3354
(571) 263-4569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-204045
VA
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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