Individual
JINA KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, MED, LBA
Contact information
Practice address
10006 PENTLAND HILLS WAY, BRISTOW, VA 20136-2665
(571) 338-5462
Mailing address
PO BOX 598, GAINESVILLE, VA 20156-0598
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002267
VA
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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