Most Relevant Information
Provider Data
| NPI Number: | 1003323916 |
| Provider Name: | COURTNEY WOLFSON BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | BACB305765 |
Most Important Dates
| Enumeration Date: | 01/02/2018 |
| Last Updated: | 01/02/2018 |
Provider Practice Location
6180 GROVEDALE CT # 200
ALEXANDRIA
VA
223102552
Practice Location Phone/Fax
| Phone: | 8663803419 |
| Fax: |
Provider Mailing Location
6180 GROVEDALE CT # 200
ALEXANDRIA
VA
223102552
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |