Individual
LYNA MOINIFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
7108 S KANNER HWY, STUART, FL 34997-7462
(722) 349-6317
Mailing address
20812 WALLINGFORD SQ APT 302, STERLING, VA 20165-7385
(703) 826-6016
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-26-17199
VA
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00016529
BEHAVIORAL INTERVENTION CERTIFICATION COUNCIL
VA
Enumeration date
02/08/2023
Last updated
06/18/2026
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