Individual
VICKY FERNANDEZ URQUIAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
22375 BRODERICK DR, STERLING, VA 20166-9371
(571) 375-0214
(866) 499-8840
Mailing address
22375 BRODERICK DR, STERLING, VA 20166-9371
(571) 375-0214
(866) 499-8840
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002257
VA
106S00000X
Behavior Technician
RBT-20-145866
VA
Other
Enumeration date
01/20/2021
Last updated
12/20/2021
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