Philip Velasco

NPI #1790464410 in Springfield, Virginia

Provider Information

NPI Number: 1790464410
Entity Type: Individual
Name: Philip Velasco
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 12, 2023
Last Updated: Jul 12, 2023

Practice Location

Address: 7001 LOISDALE RD
City: Springfield
State: Virginia
ZIP Code: 22150-1904
Phone: (240) 297-3550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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