Individual
ISHINI KARANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 OLD MEADOW RD STE 600, MC LEAN, VA 22102-4389
(703) 635-6846
Mailing address
13101 HICKORY CT, FREDERICKSBURG, VA 22407-2023
(540) 388-7959
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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