Individual
MS. EILEEN MANYONGA CHINYADZA X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EILEEN
Contact information
Practice address
1651 OLD MEADOW RD STE 600, MC LEAN, VA 22102-4389
(703) 506-0123
(703) 734-1932
Mailing address
1651 OLD MEADOW RD STE 600, MC LEAN, VA 22102-4389
(703) 506-0123
(703) 734-1932
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
VA
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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