Individual
MRS. KAIGAN BENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8229 BOONE BLVD STE 660, VIENNA, VA 22182-2657
(703) 821-1363
Mailing address
8229 BOONE BLVD STE 660, VIENNA, VA 22182-2657
(703) 821-1363
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
03/05/2018
Last updated
01/20/2023
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