Individual
LAURA MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4530 WALNEY RD STE 105, CHANTILLY, VA 20151-2285
(619) 795-9925
Mailing address
7927 ORANGE PLANK RD, SPRINGFIELD, VA 22153-2346
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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