Individual
MRS. KRYSTLE LYNN HEDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, BCBA
Contact information
Practice address
626 GRANT ST STE I, HERNDON, VA 20170-4700
(703) 999-4550
Mailing address
626 GRANT ST STE I, HERNDON, VA 20170-4700
(703) 999-4550
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7868
VA
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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