Individual
JACQUELINE SMITH-TINGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 INDUSTRIAL CT SE, LEESBURG, VA 20175-3731
(571) 264-8383
(703) 669-4878
Mailing address
673 POTOMAC STATION DR NE STE 708, LEESBURG, VA 20176-1819
(571) 264-8383
(703) 669-4878
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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