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STACIE HARMER MA/ BCBA
>> Day Training, Developmentally Disabled Services >> AgenciesRegistrant NPI Number: 1568861615
Individual Registrant: STACIE HARMER MA/ BCBA
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
8270 WILLOW OAKS CORPORATE DR FAIRFAX, VA 22031-4530 US
Tel: 703-250-4535 Fax: --
Tel: 703-250-4535 Fax: --
Contact information for business:
8270 WILLOW OAKS CORPORATE DR FAIRFAX, VA 22031-4530 US
Tel: 703-250-4535 Fax: --
Tel: 703-250-4535 Fax: --
Registration Information:
NPI: 1568861615
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 251C00000X | Agencies Day Training, Developmentally Disabled Services | VA | 0133000330 |
| Y | 103TS0200X | Behavioral Health & Social Service Providers Psychologist | VA | 0813001078 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
