Organization
VIRGINIA THERAPEUTIC NETWORK LLC
Active
Organization
VIRGINIA THERAPEUTIC NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ANNE JOLLEY BCBA, LBA (PART OWNER, SUPERVISING CLINICIAN)
(303) 335-8088
Entity
Organization
Contact information
Practice address
15713 MOSS FIRE CT, MOSELEY, VA 23120-1614
(303) 335-8088
Mailing address
15713 MOSS FIRE CT, MOSELEY, VA 23120-1614
(303) 335-8088
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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