Individual
MS. ANDREA ISABEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
11240 WAPLES MILL ROAD, SUITE 102, FAIRFAX, VA 22030
(703) 237-2219
(703) 237-2729
Mailing address
11240 WAPLES MILL RD, SUITE 102, FAIRFAX, VA 22030-6078
(703) 237-2219
(703) 237-2729
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11211911
FL
Other
Enumeration date
07/06/2012
Last updated
08/20/2013
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