Individual
MISS MARY TRIGSTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
131 ELDEN ST STE 302, HERNDON, VA 20170-4851
(703) 496-4371
Mailing address
2700 DORR AVE APT 1023, FAIRFAX, VA 22031-4957
(847) 707-2802
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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