Individual
BRIAN BURKHALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7933 DONEGAL LN, SPRINGFIELD, VA 22153-2033
(703) 470-7205
Mailing address
7933 DONEGAL LN, SPRINGFIELD, VA 22153-2033
(703) 470-7205
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000680
VA
Other
Enumeration date
11/28/2015
Last updated
11/28/2015
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