Individual
KIMBERLY CHAVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11240 WAPLES MILL RD STE 101, FAIRFAX, VA 22030-6078
(703) 237-2219
Mailing address
1756 TIGER LILY CIR, WOODBRIDGE, VA 22192-5608
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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