| Decoder | |
|
40725 Witherspoon Ct Aldie VA 20105-2892 | |
| (571) 635-9360 | |
| Not Available |
| Full Name | Decoder |
|---|---|
| Speciality | Behavior Analyst |
| Location | 40725 Witherspoon Ct, Aldie, Virginia |
| Authorized Official Name and Position | Annie Lasway (OWNER) |
| Authorized Official Contact | 5716359360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Decoder 40725 Witherspoon Ct Aldie VA 20105-2892 Ph: () - | Decoder 40725 Witherspoon Ct Aldie VA 20105-2892 Ph: (571) 635-9360 |
| NPI Number | 1467218610 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467218610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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