Joshua Agu

Individual provider Active NPI Behavior Technician · Stafford, VA

NPI 1811665474 · NPPES record last updated Aug 31, 2021

Key facts

NPI
1811665474
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
11 Hope Rd
Stafford, VA 22554-7287
Phone
(540) 225-1020
NPI assigned
Aug 31, 2021
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

11 Hope Rd
Stafford, VA 22554-7287

Mailing address

9015 Miles St
Silver Spring, MD 20901-3753

Other providers in Stafford, VA

All providers in Stafford, VA · Behavior Technician in Virginia

Sources for this page

Verify at the official NPI Registry.