Individual
HAYLEY DECICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 OLD MEADOW RD STE 600, MC LEAN, VA 22102-4389
(703) 506-0123
Mailing address
2416 SHEPHERD CIR, NORTHFIELD, NJ 08225-1419
(609) 214-6912
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
03/07/2021
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