Individual
KRISTIN OHANESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
7140 ROYAL FERN CIR APT 404, MANASSAS, VA 20111-3651
(571) 435-3774
Mailing address
7140 ROYAL FERN CIR APT 404, MANASSAS, VA 20111-3651
(571) 435-3774
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
133001640
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-40534
BACB
—
01
—
133001640
LBA
VA
Enumeration date
02/26/2020
Last updated
02/26/2020
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