Individual
MICHAEL CRAWFORD LONERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
7000 VANCOUVER RD, WEST SPRINGFIELD, VA 22152-3350
(802) 234-1195
Mailing address
7000 VANCOUVER RD, WEST SPRINGFIELD, VA 22152-3350
(802) 234-1195
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003227
VA
103K00000X
Behavior Analyst
1460134166
VT
Other
Enumeration date
11/20/2019
Last updated
04/03/2024
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