Individual
KELLY CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 OLD MEADOW RD STE 600, MC LEAN, VA 22102-4389
(703) 506-0123
Mailing address
6243 DARLINGTON CT, FREDERICK, MD 21703-2902
(301) 694-0024
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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