Individual
MICHELE SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9274 CORPORATE CIR, MANASSAS, VA 20110-4153
(402) 661-0468
Mailing address
7611 COPPERMINE DR, MANASSAS, VA 20109-2668
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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