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Individual

SHAINA MARIE ELGORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
7600 LEESBURG PIKE, SUITE 410 EAST, FALLS CHURCH, VA 22043-2004
(703) 506-1930
Mailing address
7600 LEESBURG PIKE, SUITE 410 EAST, FALLS CHURCH, VA 22043-2004
(703) 506-1930

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000797
VA

Other

Enumeration date
08/05/2016
Last updated
01/13/2020
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