Individual
ISMA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
9379 FORESTWOOD LN, MANASSAS, VA 20110-4760
(703) 945-8609
Mailing address
9379 FORESTWOOD LN, MANASSAS, VA 20110-4760
(703) 945-8609
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002599
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133002599
LBA
VA
01
—
1-22-60289
BCBA
VA
Enumeration date
11/16/2017
Last updated
08/10/2022
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