Individual
LILLY MARQUINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
6400 ARLINGTON BLVD STE 670, FALLS CHURCH, VA 22042-2336
(703) 992-6938
Mailing address
4150 ADDISON RD, FAIRFAX, VA 22030-3513
(571) 835-5867
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-91893
VA
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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