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Individual

ALAN DERCK SAVAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
1651 OLD MEADOW RD STE 600, MC LEAN, VA 22102-4389
(800) 828-5659
Mailing address
1651 OLD MEADOW RD STE 600, MC LEAN, VA 22102-4389
(301) 404-5099

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-32208
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106S00000X
MD
Enumeration date
06/01/2017
Last updated
06/01/2017
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