Individual
VITALENA JENNIE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 GREENSBORO DR STE L1-255, MC LEAN, VA 22102-3605
(719) 492-1573
Mailing address
3895 UNIVERSITY DR, FAIRFAX, VA 22030-2739
(719) 492-1573
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
VA
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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