Individual
MRS. LAKSHMI MENON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
41844 RAWNSLEY DR, ASHBURN, VA 20148-8040
(703) 955-0009
Mailing address
41844 RAWNSLEY DR, ASHBURN, VA 20148-8040
(703) 955-0009
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30760
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B62426588
DRIVERS LICENSE
VA
Enumeration date
07/09/2018
Last updated
07/09/2018
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