Organization
PHOENIX CONSULTING & BEHAVIOR THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXXANDRA M KERSSE (OWNER/DIRECTOR)
(703) 935-6670
Entity
Organization
Contact information
Practice address
919 E MAIN ST STE 1000, RICHMOND, VA 23219-4623
(703) 935-6670
Mailing address
11507 WILDERNESS PARK DR, SPOTSYLVANIA, VA 22551-8336
(703) 935-6670
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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