Individual
MS. KIRSTEN BADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
200 LITTLE FALLS ST, FALLS CHURCH, VA 22046-3393
(703) 705-2552
Mailing address
11507 HEARTHSTONE CT, RESTON, VA 20191-4403
(304) 240-9023
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-17-8284
BCABA CERTIFICATION NUMBER
VA
Enumeration date
12/28/2020
Last updated
12/28/2020
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