Individual
NYDIA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
7960 DONEGAN DR STE 200, MANASSAS, VA 20109-8236
(571) 208-0592
Mailing address
12006 LAKE DORIAN DR, BRISTOW, VA 20136-6167
(571) 214-7472
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001654
VA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
12/24/2019
Last updated
09/26/2025
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