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1194177949
KELLY LYNN COSTELLO
ALEXANDRIA, VA
NPI
1194177949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-15-19490)
Enumeration Date
2016-07-05
Last Update Date
2016-07-05
Business Address
-- KELLY LYNN COSTELLO BCBA
4103 LESTER CT
ALEXANDRIA, VA 22311-1121
Phone number: 615-335-5844
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Mailing Address
-- KELLY LYNN COSTELLO BCBA
4103 LESTER CT
ALEXANDRIA, VA 22311-1121
Phone number: 615-335-5844
Copy
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