Individual
CLAUDIA ANDREA FEBRES MORMONTOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11240 WAPLES MILL RD STE 101, FAIRFAX, VA 22030-6078
(703) 237-2219
(703) 237-2729
Mailing address
9079 SLATE STONE LOOP, BRISTOW, VA 20136-1722
(703) 789-2136
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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