Individual
KRISTIN SHYMONIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
44125 WOODRIDGE PKWY STE 100, LEESBURG, VA 20176-6839
(618) 623-6375
Mailing address
44125 WOODRIDGE PKWY STE 100, LEESBURG, VA 20176-6839
(618) 623-6375
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
133002443
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133002443
STATE OF VIRGINIA LICENSE
VI
Enumeration date
03/17/2022
Last updated
03/17/2022
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