Individual
KRISTINE PHULESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1451 BELLE HAVEN RD STE 410, ALEXANDRIA, VA 22307-1201
(703) 634-3532
Mailing address
1451 BELLE HAVEN RD STE 410, ALEXANDRIA, VA 22307-1201
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-335687
VA
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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