Individual
DOLLEEN-DAY KEOHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, BCBA-D LIC. BA
Contact information
Practice address
1701 BYRD AVE, RICHMOND, VA 23230-3011
(804) 612-1947
(804) 612-1955
Mailing address
1701 BYRD AVE, RICHMOND, VA 23230-3011
(804) 612-1947
(804) 612-1955
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000326
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133000326
LICENCE BEHAVIOR ANALYST
VA
Enumeration date
03/26/2014
Last updated
03/26/2014
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