Nicole Christine Arielle Star

NPI #1386150704 in Mc Lean, Virginia

Provider Information

NPI Number: 1386150704
Entity Type: Individual
Name: Nicole Christine Arielle Star
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 21, 2017
Last Updated: Dec 21, 2017

Practice Location

Address: 1651 OLD MEADOW RD STE 600
City: Mc Lean
State: Virginia
ZIP Code: 22102-4389
Phone: (703) 506-0123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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