| Ignite Developmental Solutions, LLC | |
|
5401 Duxford Pl Burke VA 22015-1719 | |
| (206) 499-7038 | |
| Not Available |
| Full Name | Ignite Developmental Solutions, LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5401 Duxford Pl, Burke, Virginia |
| Authorized Official Name and Position | Nicole Bowns-yepez (MEMBER) |
| Authorized Official Contact | 2064997038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ignite Developmental Solutions, LLC 5401 Duxford Pl Burke VA 22015-1719 | Ignite Developmental Solutions, LLC 5401 Duxford Pl Burke VA 22015-1719 Ph: (206) 499-7038 |
| NPI Number | 1396222956 |
|---|---|
| Provider Enumeration Date | 07/25/2018 |
| Last Update Date | 07/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396222956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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