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NPI Code Detail

MEDICARE: JOANNIE IVETTE DEVEAUX

MEDICARE: JOANNIE IVETTE DEVEAUX
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystVA

General Provider Information

NPI Number : 1730788845
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNIE IVETTE DEVEAUX
Provider Business Mailing Address
First Line : 652 WINDY WAY
Second Line :
City : FRONT ROYAL
State : VA
Zip : 22630-6039
Country : US
Telephone Number : 443-764-4175
Fax Number :
Provider Business Practice Location Address
First Line : 1651 OLD MEADOW RD STE 600
Second Line :
City : MC LEAN
State : VA
Zip : 22102-4389
Country : US
Telephone Number : 703-506-0123
Fax Number : 866-857-0246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2020
Last Update Date : 05/23/2026

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Directions to “ JOANNIE IVETTE DEVEAUX ” Practice Location

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