Individual provider · NPI-1
Justien James Garrett
Behavior Analyst · Dumfries, VA
NPI number1013670900
StatusActive
Last updated in NPPESOct 18, 2021
Details
- NPI
- 1013670900
- Entity type
- Individual (NPI-1)
- Name
- Justien James Garrett
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2021
- Certification date
- Oct 18, 2021
- Last updated
- Oct 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
3076 Pony Ridge TurnDumfries, VA 22026-2764
Phone 804-704-9266
Mailing address
3076 Pony Ridge TurnDumfries, VA 22026-2764
Phone 804-704-9266
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