Individual
TAMARA KIMORA LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 PENNSYLVANIA AVE SE UNIT 15707, WASHINGTON, DC 20003-7529
(443) 690-5857
Mailing address
4450 RIVANNA RIVER WAY # 5295, FAIRFAX, VA 22030-4441
(571) 775-9481
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K00000X
VA
Other
Enumeration date
12/04/2024
Last updated
12/09/2024
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