Individual
DWAYNE THIGPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8230 LEESBURG PIKE STE 740, VIENNA, VA 22182-2641
(877) 504-4141
Mailing address
5200 NANTICOKE CT, CENTREVILLE, VA 20120-1733
(301) 908-2303
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/20/2017
Last updated
08/23/2024
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