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Individual

EMMA JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1651 OLD MEADOW RD, MC LEAN, VA 22102-4311
(800) 828-5659
Mailing address
11521 LAKEWOOD LN, FAIRFAX STATION, VA 22039-2105
(571) 358-7028

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-1871592
VA

Other

Enumeration date
02/14/2019
Last updated
02/14/2019
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