Jaleel Black

NPI #1366217747 in Mc Lean, Virginia

Provider Information

NPI Number: 1366217747
Entity Type: Individual
Name: Jaleel Black
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 16, 2023
Last Updated: Nov 16, 2023

Practice Location

Address: 1640 BORO PL FL 4
City: Mc Lean
State: Virginia
ZIP Code: 22102-3627
Phone: (571) 888-2942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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