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Individual

ALEJANDRA LUCIA PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11200 WAPLES MILL RD STE 100, FAIRFAX, VA 22030-7475
(703) 237-2219
(703) 237-2729
Mailing address
2963 MOCKERNUT CT, HERNDON, VA 20171-2331
(703) 463-8696

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002298
VA
106S00000X
Behavior Technician

Other

Enumeration date
02/01/2018
Last updated
02/03/2022
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