Susan Carol Clance
Behavior Analyst in Woodbridge, VA. Individual provider (NPI-1).
NPI number1164085098
StatusActive
Last updated in NPPESApr 16, 2019
Details
- NPI
- 1164085098
- Entity type
- Individual (NPI-1)
- Name
- Ms. Susan Carol Clance
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2019
- Last updated
- Apr 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Other names
- Susan Carol Gyorffy (Former Name)
Practice location
12731 Marblestone Dr Ste 101Woodbridge, VA 22192-8334
Phone 571-589-0201
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Fax 000-000-0000
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