Individual
ANNA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19970 ST LOUIS RD, PURCELLVILLE, VA 20132-4921
(703) 576-5700
Mailing address
19970 ST LOUIS RD, PURCELLVILLE, VA 20132-4921
(703) 576-5700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB875261
VA
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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