Individual
KRISTIN RENEE HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7730 DONEGAN DR, MANASSAS, VA 20109-2868
(571) 208-0592
Mailing address
3922 PENDERVIEW DR APT 308, FAIRFAX, VA 22033-4709
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-53959
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-53959
BACB
—
Enumeration date
01/23/2019
Last updated
01/23/2019
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