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1669794368
KELLY LEE EAKIN
STAFFORD, VA
NPI
1669794368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: VA 1-09-6402)
Enumeration Date
2010-02-22
Last Update Date
2022-10-04
Business Address
KELLY LEE EAKIN BCBA
804 TELEGRAPH RD STE 220
STAFFORD, VA 22554-4810
Phone number: 571-251-1859
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Mailing Address
KELLY LEE EAKIN BCBA
12359 SUNRISE VALLEY DR SUITE 220
RESTON, VA 20191-3462
Phone number: 571-251-1859
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