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Individual

BILLY JERMAINE EASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3105 AMERICAN LEGION RD STE A, CHESAPEAKE, VA 23321-5653
(757) 575-1482
(757) 282-2421
Mailing address
3105 AMERICAN LEGION RD STE A, CHESAPEAKE, VA 23321-5653
(757) 575-1482
(757) 282-2421

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-173183
VA

Other

Enumeration date
12/16/2021
Last updated
12/16/2021
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