Individual
CHAYAKARN SRIHATAKOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10715 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-2674
(540) 339-3640
Mailing address
10715 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-2674
(540) 339-3640
(540) 898-1040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002369
VA
Other
Enumeration date
02/24/2022
Last updated
03/12/2023
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