Individual
DELANEY LYNN KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43490 YUKON DR STE 104, ASHBURN, VA 20147-7302
(703) 936-2122
Mailing address
4450 RIVANNA RIVER WAY # 1943, FAIRFAX, VA 22030-4441
(203) 617-9197
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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