Individual
DIAMOND KIVIETTA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4141 N HENDERSON RD STE 8, ARLINGTON, VA 22203-2485
(866) 565-7222
(877) 734-1914
Mailing address
2 VILLAGE SQ STE 210, BALTIMORE, MD 21210-1624
(866) 565-7222
(877) 734-1914
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72914
VA
Other
Enumeration date
02/18/2020
Last updated
05/17/2024
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