Individual
JULIAN SANTOS SHARINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3045 ORDWAY DR NW APT: H, ROANOKE, VA 24017
(540) 467-6338
Mailing address
3045 ORDWAY DR NW APT: H, ROANOKE, VA 24017
(540) 467-6338
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-151931
VA
Other
Enumeration date
01/31/2021
Last updated
01/31/2021
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