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NPI 1821833799 · live from the CMS NPI Registry

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Pediatrics, Developmental - Behavioral Pediatrics in Woodbridge, VA. National Provider Identifier 1821833799, active.

NPI record

NPI1821833799 Type 2 · organization
StatusActive
Primary specialtyPediatrics, Developmental - Behavioral Pediatrics 2080P0006X
Practice location14130 Noblewood Plz Ste 301, Woodbridge, VA 22193
Practice phone703-485-0470
EnumeratedJuly 1, 2024
Last updatedJuly 1, 2024
Authorized officialNayra Butron, Office Manager

Taxonomies and licenses

TaxonomyCodeLicense
Pediatrics, Developmental - Behavioral Pediatrics primary2080P0006X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.