Individual
ANDREA CATRICE BROWN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44933 GEORGE WASHINGTON BLVD STE 110, ASHBURN, VA 20147-6301
(571) 520-4763
Mailing address
44933 GEORGE WASHINGTON BLVD STE 110, ASHBURN, VA 20147-6301
(571) 520-4763
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB803030
VA
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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