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Individual

CRISTINA AMADOR COSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
131 ELDEN ST STE 302, HERNDON, VA 20170-4851
(703) 496-4371
(703) 435-4021
Mailing address
12327 BEACONTREE WAY, ORLANDO, FL 32837-6510
(407) 839-9535

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0134000612
VA
106E00000X
Assistant Behavior Analyst
FL
106S00000X
Behavior Technician

Other

Enumeration date
12/30/2016
Last updated
04/16/2026
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