Individual
DIANA MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10803 MAIN ST STE 700, FAIRFAX, VA 22030-4728
(888) 574-6007
Mailing address
10803 MAIN ST STE 700, FAIRFAX, VA 22030-4728
(888) 574-6007
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133005349
VA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
06/22/2026
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