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NPI 1134917214

NPI 1134917214 : CHLOE SOPHIA GRIESHABER BCBA : FAIRFAX, VA

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General NPI Number Information
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    NPI Number           |    1134917214
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    Entity Type          |    Individual 
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    Provider Name        |    CHLOE SOPHIA GRIESHABER BCBA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/28/2025
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    Last Update Date     |    11/12/2025
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Provider Practice Location Address
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    Address Line         |    11211 WAPLES MILL RD STE 100 
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    City                 |    FAIRFAX
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    State                |    VA
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    Zip                  |    22030-7406
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    Country              |    US
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    Telephone            |    571-241-8557
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    Fax                  |    571-303-1835
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Provider Business Mailing Address
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    Address Line         |    900 ARMY NAVY DR APT 1311 
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    City                 |    ARLINGTON
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    State                |    VA
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    Zip                  |    22202-4930
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    Country              |    US
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    Telephone            |    484-667-9164
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    1-25-81508
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    License Number State |    PA
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