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Individual

MS. KIMBERLY ANTONIETT JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
14800 POTOMAC BRANCH DR, WOODBRIDGE, VA 22191-4056
(706) 329-7213
Mailing address
14800 POTOMAC BRANCH DR, WOODBRIDGE, VA 22191-4056
(706) 329-7213

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-63101
VA
106E00000X
Assistant Behavior Analyst
0-22-13420
GA
106S00000X
Behavior Technician
18-74133

Other

Enumeration date
01/21/2022
Last updated
05/10/2023
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