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1083193890
ETHAN KATZ
SPRINGFIELD, VA
NPI
1083193890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-18-30640)
Enumeration Date
2018-08-13
Last Update Date
2018-08-13
Business Address
ETHAN KATZ M.Ed, BCBA, LBA
6563 EDSALL RD
SPRINGFIELD, VA 22151-4414
Phone number: 703-354-0000
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Mailing Address
ETHAN KATZ M.Ed, BCBA, LBA
3819 PRINCE WILLIAM DR
FAIRFAX, VA 22031-3820
Phone number: 703-346-3185
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