Individual
MS. GINA MARIE BALLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
11240 WAPLES MILL RD, SUITE 101, FAIRFAX, VA 22030-6078
(703) 237-2219
(703) 237-2729
Mailing address
11240 WAPLES MILL RD, SUITE 101, FAIRFAX, VA 22030-6078
(703) 237-2219
(703) 237-2729
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133000063
VA
103K00000X
Behavior Analyst
Primary
1-03-1182
FL
Other
Enumeration date
11/18/2009
Last updated
08/20/2014
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