Individual
LYDIA BOCHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5415 BACKLICK RD, SPRINGFIELD, VA 22151-3915
(703) 941-1910
Mailing address
5415 BACKLICK RD, SPRINGFIELD, VA 22151-3915
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000830
VA
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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