| Stellaterra Studio, Llc | |
|
11789 Great Owl Cir Reston VA 20194-1172 | |
| (540) 908-7741 | |
| Not Available |
| Full Name | Stellaterra Studio, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11789 Great Owl Cir, Reston, Virginia |
| Authorized Official Name and Position | Hannah K Johnson (OWNER) |
| Authorized Official Contact | 5409087741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stellaterra Studio, Llc 11789 Great Owl Cir Reston VA 20194-1172 Ph: (540) 908-7741 | Stellaterra Studio, Llc 11789 Great Owl Cir Reston VA 20194-1172 Ph: (540) 908-7741 |
| NPI Number | 1821981424 |
|---|---|
| Provider Enumeration Date | 06/02/2025 |
| Last Update Date | 06/16/2025 |
| Certification Date | 06/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821981424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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