| Under 1 Roof Llc | |
|
4301 Stretton Farm Ct Woodbridge VA 22192-5564 | |
| (404) 625-6294 | |
| Not Available |
| Full Name | Under 1 Roof Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4301 Stretton Farm Ct, Woodbridge, Virginia |
| Authorized Official Name and Position | Walter Miller (BEHAVIOR CONSULTANT) |
| Authorized Official Contact | 4046256294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Under 1 Roof Llc 4339 Ridgewood Center Dr # 1071 Woodbridge VA 22192-5308 Ph: (404) 625-6294 | Under 1 Roof Llc 4301 Stretton Farm Ct Woodbridge VA 22192-5564 Ph: (404) 625-6294 |
| NPI Number | 1376390435 |
|---|---|
| Provider Enumeration Date | 05/06/2024 |
| Last Update Date | 05/06/2024 |
| Certification Date | 05/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376390435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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