Ballone, Gina Marie

Ballone, Gina Marie is an individual health care provider with primary practice located at 11240 Waples Mill Rd Suite 101, Fairfax VA 22030-6078. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Ballone, Gina Marie can be contacted via phone (703) 237-2219.

Contact Information

Primary practice address
11240 Waples Mill Rd Suite 101 Fairfax VA 22030-6078
Phone: (703) 237-2219
Fax: (703) 237-2729
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-03-1182 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0133000063 Virginia

Profile Details

NPI number 1194053850
LBN Legal business name Ballone, Gina Marie
Credentials M.S., BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2009
Last updated Aug 20th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers