Organization
LEARN BEHAVIOR CONSULTATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERRY ANNE DILLMAN B.C.B.A. (PRESIDENT, CEO)
(724) 448-9653
Entity
Organization
Contact information
Practice address
3414 FLINT HILL PL, WOODBRIDGE, VA 22192
(724) 448-9653
Mailing address
3414 FLINT HILL PL, WOODBRIDGE, VA 22192-1011
(724) 448-9653
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3365
VA
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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