| Square Peg Partners | |
|
7203 Main St Clifton VA 20124-1718 | |
| (571) 241-2541 | |
| Not Available |
| Full Name | Square Peg Partners |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7203 Main St, Clifton, Virginia |
| Authorized Official Name and Position | Ester Hoskins Pline (DIRECTOR) |
| Authorized Official Contact | 5712412541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Square Peg Partners Po Box 112 Clifton VA 20124-0112 Ph: (571) 241-2541 | Square Peg Partners 7203 Main St Clifton VA 20124-1718 Ph: (571) 241-2541 |
| NPI Number | 1255098125 |
|---|---|
| Provider Enumeration Date | 11/26/2021 |
| Last Update Date | 11/26/2021 |
| Certification Date | 11/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255098125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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