Individual
KATHRYN LYNN BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
763 J CLYDE MORRIS BLVD STE 1C, NEWPORT NEWS, VA 23601-1533
(757) 524-2510
Mailing address
763 J CLYDE MORRIS BLVD STE 1C, NEWPORT NEWS, VA 23601-1533
(305) 846-9807
(305) 846-9711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/26/2017
Last updated
04/22/2021
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