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Individual

MARIELA TAPIA HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED, BCBA, LBA

Contact information

Practice address
11200 WAPLES MILL RD STE 100, FAIRFAX, VA 22030-7475
(703) 237-2219
(703) 237-2729
Mailing address
3495 BONITA CT, WOODBRIDGE, VA 22193-1418

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003232
VA
106S00000X
Behavior Technician

Other

Enumeration date
01/22/2019
Last updated
09/25/2023
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