Individual
LAUREN WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 CHILDRENS CENTER RD SW, LEESBURG, VA 20175-2545
(703) 777-3485
Mailing address
903 BLUE LEAF COURT, UNIT M, FREDERICK, MD 21701
(571) 426-4203
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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