Individual
AVERY KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
11905 BOWMAN DR STE 507, FREDERICKSBURG, VA 22408-7344
(540) 216-4809
Mailing address
11905 BOWMAN DR STE 507, FREDERICKSBURG, VA 22408-7344
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
10/07/2019
Last updated
02/06/2020
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