Individual
CARL DZYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., BCBA
Contact information
Practice address
6216 OLD KEENE MILL CT, SPRINGFIELD, VA 22152-2323
(571) 297-4308
(703) 992-0405
Mailing address
6216 OLD KEENE MILL CT, SPRINGFIELD, VA 22152-2323
(571) 297-4308
(703) 992-0405
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1119655
FL
Other
Enumeration date
11/11/2011
Last updated
07/28/2022
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