Taliaferro, Andrea

Taliaferro, Andrea is an sole proprietor health care provider with primary practice located at 10686 Crestwood Dr Suites A & B, Manassas VA 20109-4407. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Taliaferro, Andrea can be contacted via phone (703) 392-6166.

Contact Information

Primary practice address
10686 Crestwood Dr Suites A & B Manassas VA 20109-4407
Phone: (703) 392-6166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0133000234 Virginia

Profile Details

NPI number 1144562380
LBN Legal business name Taliaferro, Andrea
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2013
Last updated Oct 25th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144562380 NPPES
Other 1-10-7030 BEHAVIOR ANALYSIS CERTIFICATION BOARD

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