Provider Demographics
NPI:1952816191
Name:ZIELINSKI, VIRGINIA BERNADETTE (VIRGINIA)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:BERNADETTE
Last Name:ZIELINSKI
Suffix:
Gender:F
Credentials:VIRGINIA
Other - Prefix:MS
Other - First Name:VIRGINIA
Other - Middle Name:BERNADETTE
Other - Last Name:ZIELINSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RBT
Mailing Address - Street 1:2173 WARRENTON RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22406-4825
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1411 PRINCESS ANNE STR
Practice Address - Street 2:FREDERICKSBURG
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:22401
Practice Address - Country:US
Practice Address - Phone:703-887-5449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-11
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician