Individual provider · NPI-1
Kristen Aguilar, BCBA
Behavior Analyst · Dumfries, VA
NPI number1548776149
StatusActive
Last updated in NPPESJan 27, 2022
Details
- NPI
- 1548776149
- Entity type
- Individual (NPI-1)
- Name
- Kristen Aguilar
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2017
- Certification date
- Jan 27, 2022
- Last updated
- Jan 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-18-34109 | CO | Yes |
| 106S00000X | Behavior Technician | 106500000x | MA | |
| 106S00000X | Behavior Technician | – | MA |
Other names
- Kristen Aguilar (Professional Name)
Practice location
17932 Fraley Blvd Ste 205Dumfries, VA 22026-2456
Phone 719-301-5100
Mailing address
17932 Fraley Blvd Ste 205Dumfries, VA 22026-2456
Phone 703-229-4216
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