| Empowering Minds 4 Change, Llc. | |
|
4301 Stretton Farm Ct Woodbridge VA 22192-5564 | |
| (571) 580-9160 | |
| Not Available |
| Full Name | Empowering Minds 4 Change, Llc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4301 Stretton Farm Ct, Woodbridge, Virginia |
| Authorized Official Name and Position | Jennifer Clements (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 2487044751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowering Minds 4 Change, Llc. 4301 Stretton Farm Ct Woodbridge VA 22192-5564 Ph: (571) 580-9160 | Empowering Minds 4 Change, Llc. 4301 Stretton Farm Ct Woodbridge VA 22192-5564 Ph: (571) 580-9160 |
| NPI Number | 1275102691 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 09/14/2023 |
| Certification Date | 09/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275102691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
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