Anastasia Formica, MA, BCBA, LBA

NPI #1538879150 in Radford, Virginia

Provider Information

NPI Number: 1538879150
Entity Type: Individual
Name: Anastasia Formica, MA, BCBA, LBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: MA, BCBA, LBA
Enumeration Date: Dec 5, 2022
Last Updated: Jan 11, 2023

Practice Location

Address: 6245 UNIVERSITY PARK DR
City: Radford
State: Virginia
ZIP Code: 24141-8632
Phone: (540) 348-4808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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