Individual
BRANDY CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4102 MIDDLE RIDGE DR, FAIRFAX, VA 22033-3226
(312) 450-9374
Mailing address
4102 MIDDLE RIDGE DR, FAIRFAX, VA 22033-3226
(312) 450-9374
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
VA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
05/05/2023
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