Individual
MRS. DIANE ELIZABETH YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA, LABA
Contact information
Practice address
11350 RANDOM HILLS RD STE 240, FAIRFAX, VA 22030-6044
(703) 537-0700
Mailing address
11350 RANDOM HILLS RD STE 240, FAIRFAX, VA 22030-6044
(703) 537-0700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000201
VA
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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