Individual
KIRAN TALVADKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5906 CRAIG ST, SPRINGFIELD, VA 22150-3244
(202) 253-1458
Mailing address
5906 CRAIG ST, SPRINGFIELD, VA 22150-3244
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000636
VA
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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