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Individual

KIMTRACY VILLARIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
297 HERNDON PKWY STE 301, HERNDON, VA 20170-4469
(571) 762-0500
(571) 241-8557
Mailing address
297 HERNDON PKWY STE 301, HERNDON, VA 20170-4469
(571) 762-0500
(571) 241-8557

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001090
VA

Other

Enumeration date
04/11/2016
Last updated
07/24/2020
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