Individual
CITYANA TESHOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
904 PRINCESS ANNE ST STE 204, FREDERICKSBURG, VA 22401-5801
(703) 229-4216
Mailing address
904 PRINCESS ANNE ST STE 204, FREDERICKSBURG, VA 22401-5801
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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