Individual
MARIANA ROSE HERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
2600 PARK TOWER DR STE 200, VIENNA, VA 22180-7342
(703) 533-3131
Mailing address
2600 PARK TOWER DR STE 200, VIENNA, VA 22180-7342
(703) 533-3131
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004096
VA
Other
Enumeration date
08/30/2021
Last updated
02/18/2025
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