Individual
NICOLE BOWNS-YEPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
6413 OLMI LANDRITH DR, ALEXANDRIA, VA 22307
(206) 499-7038
Mailing address
5401 DUXFORD PL, BURKE, VA 22015-1719
(206) 499-7038
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20884
WA
Other
Enumeration date
01/03/2016
Last updated
07/13/2018
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