Individual
DR. DENISE BARTIZAL MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, BCBA
Contact information
Practice address
19423 INDIAN RD, PETERSBURG, VA 23805-8819
(540) 761-6306
Mailing address
19423 INDIAN RD, PETERSBURG, VA 23805-8819
(540) 761-6306
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11000078
MI
103T00000X
Psychologist
0810000359
VA
Other
Enumeration date
08/01/2009
Last updated
08/01/2009
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