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Daniel Salas

Behavior Technician in Woodbridge, VA. Individual provider (NPI-1).

NPI number1164182002
StatusActive
Last updated in NPPESDec 20, 2021

Details

NPI
1164182002
Entity type
Individual (NPI-1)
Name
Daniel Salas
Sex
Male
Sole proprietor
No
Enumeration date
Dec 20, 2021
Certification date
Dec 20, 2021
Last updated
Dec 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-21-153711VAYes

Practice location

4308 Walsh Way
Woodbridge, VA 22193-5767

Phone 703-580-9092

Mailing address

4308 Walsh Way
Woodbridge, VA 22193-5767

Phone 703-580-9092

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