Individual
YA PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5415C BACKLICK RD, SPRINGFIELD, VA 22151-3915
(703) 941-1910
Mailing address
5415C BACKLICK RD, SPRINGFIELD, VA 22151-3915
(703) 941-1910
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699097139
—
VA
Enumeration date
06/01/2021
Last updated
09/01/2022
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