Individual
KAYLA CRISWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 31ST STREET, APT 204, ARLINGTON, VA 22206
(703) 869-1851
Mailing address
4510 31ST STREET, APT 204, ARLINGTON, VA 22206
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/22/2019
Last updated
12/22/2019
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