Taliaferro, Andrea
Taliaferro, Andrea is an sole proprietor health care provider with primary practice located at 10686 Crestwood Dr Suites A & B, Manassas VA 20109-4407. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Taliaferro, Andrea can be contacted via phone (703) 392-6166.Contact Information
Primary practice address
10686 Crestwood Dr Suites A & B
Manassas VA 20109-4407
Phone: (703) 392-6166
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 0133000234 | Virginia |
Profile Details
| NPI number | 1144562380 |
|---|---|
| LBN Legal business name | Taliaferro, Andrea |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2013 |
| Last updated | Oct 25th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144562380 | NPPES |
| Other | 1-10-7030 | BEHAVIOR ANALYSIS CERTIFICATION BOARD |
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