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Search › Virginia › 103K00000X

Andrea Kelly, BCBA

NPI 1891050720 · on the registry since 2012

Practice

Address
11240 Waples Mill Road
Suite 102
Fairfax, VA 22030
Phone
(703) 237-2219
Fax
(703) 237-2729
Organisation at this address
Axiom Link
Axiom Link
Matrix Med Inc
Sun Medical Llc
Axiom Link, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
114

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia