Individual
ELAINE ALLSUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED., BCBA
Contact information
Practice address
43178 ALLENBY WAY, LEESBURG, VA 20176-6473
(703) 338-7750
(703) 669-9060
Mailing address
43178 ALLENBY WAY, LEESBURG, VA 20176-6473
(703) 338-7750
(703) 669-9060
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-2056
VA
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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