Individual
GLORIA PASAREVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8000 TOWERS CRESCENT DR FL 13, VIENNA, VA 22182-6211
(833) 599-2560
Mailing address
850 TOWBIN AVE, LAKEWOOD, NJ 08701-5928
(732) 515-3709
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002875
VA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/09/2020
Last updated
02/06/2023
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