Individual
MARY BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10530 WARWICK AVE, SUITE C2, FAIRFAX, VA 22030-3132
(908) 500-3176
Mailing address
10530 WARWICK AVE, SUITE C2, FAIRFAX, VA 22030-3132
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000438
VA
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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