Individual
GENESIS R ROSADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 OLD MEADOW RD, MC LEAN, VA 22102-4311
(877) 504-4141
Mailing address
1378 E LONGVIEW DR APT 10, WOODBRIDGE, VA 22191-2378
(202) 867-5744
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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