Individual
GRACE C THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 ARLINGTON BLVD STE 670, FALLS CHURCH, VA 22042-2336
(833) 319-0526
Mailing address
2228 N UNDERWOOD ST, FALLS CHURCH, VA 22043-1926
(571) 455-5438
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-194879
VA
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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