Individual
MAREN LYSENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7333 WHITEPINE RD, RICHMOND, VA 23237-2260
(804) 316-5552
Mailing address
7333 WHITEPINE RD, RICHMOND, VA 23237-2260
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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