Individual
TINA LOUISE DITTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3333 WYNDALE CT, WOODBRIDGE, VA 22192-4312
(703) 732-3235
Mailing address
3333 WYNDALE CT, WOODBRIDGE, VA 22192-4312
(571) 393-5908
(571) 393-5908
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26608
VA
103K00000X
Behavior Analyst
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—
Other
Enumeration date
11/03/2017
Last updated
06/09/2025
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