Individual
LEANNA FICHETOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12330 PINECREST RD STE 100, RESTON, VA 20191-1656
(202) 420-8359
Mailing address
12330 PINECREST RD STE 100, RESTON, VA 20191-1656
(202) 420-8359
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31878
—
Other
Enumeration date
04/16/2020
Last updated
03/07/2022
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