Individual
DANISHIA ROCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 OLD MEADOW RD STE 600, MC LEAN, VA 22102-4389
(703) 506-0123
Mailing address
13126 MARTHAS CHOICE CIR, BOWIE, MD 20720-4701
(240) 863-8686
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
N/A
—
Enumeration date
02/21/2018
Last updated
02/21/2018
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