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Individual

MS. SHANNON MARIE KAZMERICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1651 OLD MEADOW RD STE 600, MC LEAN, VA 22102-4389
(703) 506-0123
Mailing address
3452 25TH CT S, ARLINGTON, VA 22206-2465
(570) 793-7749

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
06/30/2014
Last updated
06/30/2014
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