Individual
LESLIE S MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
21680 RIDGETOP CIR STE 100, STERLING, VA 20166-4292
(703) 689-0019
Mailing address
21680 RIDGETOP CIR STE 100, STERLING, VA 20166-4292
(703) 689-0019
(703) 689-0039
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-1872
VA
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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