Individual
BETZAIDA CARDOZA HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4530 WALNEY RD STE 105, CHANTILLY, VA 20151-2285
(571) 749-4011
Mailing address
449 ANDROMEDA TER NE, LEESBURG, VA 20176-4027
(703) 554-4297
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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