Cruz Chavez, Jose Ivan

Cruz Chavez, Jose Ivan is an individual health care provider with primary practice located at 1800 Alexander Bell Dr Ste 100 , Reston VA 20191-4385. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Cruz Chavez, Jose Ivan can be contacted via phone (571) 495-1673.

Contact Information

Primary practice address
1800 Alexander Bell Dr Ste 100 Reston VA 20191-4385
Phone: (571) 495-1673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1730706763
LBN Legal business name Cruz Chavez, Jose Ivan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2020
Last updated Jun 25th, 2020 - about 6 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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