Individual
INDIA RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 ALEXANDER BELL DR STE 100, RESTON, VA 20191-4385
(571) 495-1673
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
00016523
VA
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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