Individual
MS. LINDSAY ANNE RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
600 PENNSYLVANIA AVE SE UNIT 15707, WASHINGTON, DC 20003-7529
(443) 690-5857
Mailing address
8031 SKY BLUE DR, ALEXANDRIA, VA 22315-5075
(570) 575-8855
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002621
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30017988580001
—
VA
Enumeration date
09/10/2024
Last updated
01/26/2026
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