Most Relevant Information
Provider Data
| NPI Number: | 1003566852 |
| Provider Name: | MICHAELA MARIE NAMETH |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-22207768 |
Most Important Dates
| Enumeration Date: | 03/25/2022 |
| Last Updated: | 04/14/2022 |
Provider Practice Location
131 ELDEN ST STE 302
HERNDON
VA
201704851
Practice Location Phone/Fax
| Phone: | 7034964371 |
| Fax: | 7034354021 |
Provider Mailing Location
131 ELDEN ST
HERNDON
VA
201704876
Provider Mailing Phone/Fax
| Phone: | 7034964371 |
| Fax: |