Individual
MRS. DIANA ANDERSON TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
21576 IREDELL TER, BROADLANDS, VA 20148-5033
(510) 738-7709
Mailing address
9508 QUAIL POINTE LN, FAIRFAX STATION, VA 22039-3317
(571) 334-2375
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1235381633
VA
Other
Enumeration date
05/02/2016
Last updated
07/12/2024
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