Eagen, Madison

Eagen, Madison is an individual health care provider with primary practice located at 11576 Greenwich Point Rd , Reston VA 20194-1200. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Eagen, Madison can be contacted via phone (703) 303-3902.

Contact Information

Primary practice address
11576 Greenwich Point Rd Reston VA 20194-1200
Phone: (703) 303-3902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0133001686 Virginia

Profile Details

NPI number 1710515531
LBN Legal business name Eagen, Madison
Credentials BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2020
Last updated Mar 28th, 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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