Individual
KRISTEN BANUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 CORPORATE BLVD, NORFOLK, VA 23502
(757) 801-8090
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003778
VA
Other
Enumeration date
09/24/2020
Last updated
10/10/2025
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