Individual
LYDIA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1451 BELLE HAVEN RD STE 410, ALEXANDRIA, VA 22307-1201
(703) 634-3532
(571) 495-2563
Mailing address
1800 BROOKSTONE CT, VIENNA, VA 22182-1995
(703) 470-3035
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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