Individual
CARLY TRAINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
19723 RIDGESIDE RD, BLUEMONT, VA 20135-2028
(703) 576-5700
Mailing address
120 FORT EVANS RD SE APT D, LEESBURG, VA 20175-4135
(908) 458-1502
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001881
VA
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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