Individual
LAUREL KOKILANANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
10565 FAIRFAX BLVD STE 300, FAIRFAX, VA 22030-3104
(703) 218-6599
(703) 890-7176
Mailing address
10565 FAIRFAX BLVD STE 300, FAIRFAX, VA 22030-3104
(703) 218-6599
(703) 890-7176
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004147
VA
Other
Enumeration date
02/25/2025
Last updated
12/04/2025
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