Individual
KELLY LEE EAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
804 TELEGRAPH RD STE 220, STAFFORD, VA 22554-4810
(571) 251-1859
(703) 546-1761
Mailing address
12359 SUNRISE VALLEY DR, SUITE 220, RESTON, VA 20191-3462
(571) 251-1859
(703) 441-7814
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6402
VA
Other
Enumeration date
02/22/2010
Last updated
10/04/2022
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