Vickstrom, Joshua Kent

Vickstrom, Joshua Kent is an individual health care provider with primary practice located at 1651 Old Meadow Rd Suite Number 600, Mc Lean VA 22102-4311. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Vickstrom, Joshua Kent can be contacted via phone (800) 828-5659.

Contact Information

Primary practice address
1651 Old Meadow Rd Suite Number 600 Mc Lean VA 22102-4311
Phone: (800) 828-5659
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0-12-5227 Virginia

Profile Details

NPI number 1700121134
LBN Legal business name Vickstrom, Joshua Kent
Credentials B.C.A.B.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2012
Last updated Dec 12th, 2012 - 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.

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