Individual
DOMINIC DIIENNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1651 OLD MEADOW RD, SUITE 600, MC LEAN, VA 22102-4311
(267) 992-6697
Mailing address
7127 RED HORSE TAVERN LN, SPRINGFIELD, VA 22153-1406
(267) 992-6697
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
VA
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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