Individual
HARLYN RODRIGUEZ POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,BCBA,LBA
Contact information
Practice address
7400 BEAUFONT SPRINGS DR STE 300, NORTH CHESTERFIELD, VA 23225-5519
(804) 201-9082
Mailing address
2929 GALLOWS RD STE 2A, FALLS CHURCH, VA 22042-1027
(585) 435-8814
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002030
VA
Other
Enumeration date
09/22/2021
Last updated
02/25/2023
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