Individual
CHRISTINA CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11240 WAPLES MILL RD, FAIRFAX, VA 22030-6078
(703) 237-2219
Mailing address
8294 WOODHUE DR, MANASSAS PARK, VA 20111-2303
(703) 398-9382
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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