IndividualActive
Amadeus Cannon
NPI 1467335307 · Behavior Technician · Herndon, VA
Provider details
- NPI number
- 1467335307
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
131 Elden St Ste 302
Herndon, VA 20170-4851
Phone: (703) 496-4371
Approximate (ZIP-level) locationGet directions
Mailing address
131 Elden St Ste 302
Herndon, VA 20170-4851
Registry dates
- Enumerated
- 2025-07-29
- Last updated
- 2025-07-29
- Certified
- 2025-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.