Individual
THI NGOC OANH LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10803 MAIN ST STE 700, FAIRFAX, VA 22030-4728
(571) 212-6627
Mailing address
11154 GARDEN PATH LN, FAIRFAX, VA 22030-5567
(689) 233-6791
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB1299188
VA
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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