Footprints Behavior Services Llc | |
5878 Orchard Hill Ct Clifton VA 20124-1064 | |
(703) 216-2572 | |
(703) 825-1290 |
Full Name | Footprints Behavior Services Llc |
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Speciality | Behavior Analyst |
Location | 5878 Orchard Hill Ct, Clifton, Virginia |
Authorized Official Name and Position | Meredith Vickery (PRESIDENT/LEAD BEHAVIOR ANALYST) |
Authorized Official Contact | 7032162572 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Footprints Behavior Services Llc 5878 Orchard Hill Ct Clifton VA 20124-1064 Ph: (703) 216-2572 | Footprints Behavior Services Llc 5878 Orchard Hill Ct Clifton VA 20124-1064 Ph: (703) 216-2572 |
NPI Number | 1639506066 |
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Provider Enumeration Date | 09/30/2013 |
Last Update Date | 09/30/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639506066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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