Individual
ALEXA HOPE VERSACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 OLD MEADOW RD, MC LEAN, VA 22102-4311
(877) 504-4141
Mailing address
42662 GULICKS LANDING CT, ASHBURN, VA 20148-4116
(703) 473-1886
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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