Individual
MISS TAMMY KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
10340 DEMOCRACY LN STE 102B, FAIRFAX, VA 22030-2518
(571) 386-0871
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000851
VA
103K00000X
Behavior Analyst
LBA268
MD
Other
Enumeration date
11/10/2016
Last updated
02/27/2018
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