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Individual

BARBARA JEAN LYDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
11760 SAINT DAVIDS CT, WOODBRIDGE, VA 22192-5724
(703) 863-0257
Mailing address
11760 SAINT DAVIDS CT, WOODBRIDGE, VA 22192-5724
(703) 863-0257

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002598
VA

Other

Enumeration date
07/09/2022
Last updated
07/09/2022
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