Individual
MRS. DIANA MARIE COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., B.C.B.A.
Contact information
Practice address
43863 AMITY PL, ASHBURN, VA 20147-3801
(703) 729-5710
Mailing address
43863 AMITY PL, ASHBURN, VA 20147-3801
(703) 729-5710
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-55-94
VA
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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