NPI 1104572510

Courtney Lee Dudley

Practitioner Assistant Behavior Analyst Manassas, VA

Practice location

Address: 10370 Battleview Pkwy, Manassas, VA 20109-2338
Phone: (571) 364-0440
Mailing address: 21600 Oxnard St STE 1800, Woodland Hills, CA 91367-7807

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence A62774333 (VA)

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Registry record

NPI: 1104572510
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Feb 2022
Record last updated: 24 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.