Wade, Dorien

Wade, Dorien is an individual health care provider with primary practice located at 11240 Waples Mill Rd Ste 101 , Fairfax VA 22030-6078. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Wade, Dorien can be contacted via phone (703) 237-2219.

Contact Information

Primary practice address
11240 Waples Mill Rd Ste 101 Fairfax VA 22030-6078
Phone: (703) 237-2219
Fax: (703) 237-2729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1295245066
LBN Legal business name Wade, Dorien
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2017
Last updated Oct 6th, 2017 - about 7 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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