Anderson, Jaci

Anderson, Jaci is an individual health care provider with primary practice located at 301 Maple Ave W Ste 330 , Vienna VA 22180-4301. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Anderson, Jaci can be contacted via phone (571) 533-3456.

Contact Information

Primary practice address
301 Maple Ave W Ste 330 Vienna VA 22180-4301
Phone: (571) 533-3456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-22-225510 Virginia

Profile Details

NPI number 1881329696
LBN Legal business name Anderson, Jaci
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2022
Last updated Jul 18th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers