Individual
LYVYANE AUGUSTYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2847 DUKE ST, ALEXANDRIA, VA 22314-4512
(703) 870-3880
Mailing address
615 SWANN AVE APT 313, ALEXANDRIA, VA 22301-1457
(949) 610-9023
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-66023
VA
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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