Individual
MRS. LEDIN ROSIBEL ROMERO BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8245 TAUNTON PL, SPRINGFIELD, VA 22152-2428
(757) 737-5456
(757) 561-2563
Mailing address
1702 BEN FRANKLIN CIR, WILLIAMSBURG, VA 23188-7642
(571) 707-0790
(757) 561-2563
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55301
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133002290
VIRGINIA LBA
VA
01
—
1-21-55301
BACB
—
Enumeration date
11/12/2021
Last updated
03/17/2022
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