Individual
KARLILY MIREY MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
188 ONVILLE RD, STAFFORD, VA 22556-3805
(540) 645-4777
Mailing address
188 ONVILLE RD, STAFFORD, VA 22556-3805
(540) 645-4777
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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