Guiding Pathways Therapeutic Consultation Llc | |
8140 Bluebonnet Dr Lorton VA 22079-5628 | |
(703) 899-0274 | |
Not Available |
Full Name | Guiding Pathways Therapeutic Consultation Llc |
---|---|
Speciality | Behavior Analyst |
Location | 8140 Bluebonnet Dr, Lorton, Virginia |
Authorized Official Name and Position | Sylvia Perry (BOARD CERTIFIED BEHAVIOR ANALYST) |
Authorized Official Contact | 7038990274 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Guiding Pathways Therapeutic Consultation Llc 8140 Bluebonnet Dr Lorton VA 22079-5628 Ph: (703) 899-0274 | Guiding Pathways Therapeutic Consultation Llc 8140 Bluebonnet Dr Lorton VA 22079-5628 Ph: (703) 899-0274 |
NPI Number | 1902631849 |
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Provider Enumeration Date | 09/02/2024 |
Last Update Date | 09/02/2024 |
Certification Date | 09/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902631849 | NPI | - | NPPES |
1508361718 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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