Individual
SUMMER LYNN CLAVEAU MALAGUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA LBA
Contact information
Practice address
12531 CLIPPER DR STE 201, WOODBRIDGE, VA 22192-2355
(571) 404-0850
Mailing address
2320 KINGSBURY LN, WOODBRIDGE, VA 22192-3015
(703) 407-5694
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002460
VA
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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