Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | ||
N | 106S00000X | Behavior Technician |
NPI | 1093230542 |
---|---|
Provider Name | Christina M. Aveni-Hatcher |
First Address | Burtonsville, MD 20866-2217 |
Second Address | Mc Lean, VA 22102-4389 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2017 |
Last Update Date | 08/05/2018 |