Individual
LANAIYA N PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 OLD MEADOW RD STE 600, MC LEAN, VA 22102-4389
(703) 564-1662
Mailing address
11826 FEDERALIST WAY APT 33, FAIRFAX, VA 22030-7883
(253) 508-2222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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