Most Relevant Information
Provider Data
| NPI Number: | 1003582016 |
| Provider Name: | CALLIE MAIETTA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/19/2021 |
| Last Updated: | 08/19/2021 |
Provider Practice Location
1411 PRINCESS ANNE
FREDERICKSBURG
VA
22401
Practice Location Phone/Fax
| Phone: | 5409221110 |
| Fax: | 7753921245 |
Provider Mailing Location
3004 NW 130TH TER APT 353
SUNRISE
FL
333233950
Provider Mailing Phone/Fax
| Phone: | 5409221110 |
| Fax: | 7753921245 |