Individual
SAMANTHA RANNAZZISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 QUINCE PL, CHESAPEAKE, VA 23320-0769
(828) 208-2487
Mailing address
4950 CASABLANCA RD, VIRGINIA BEACH, VA 23455-2225
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53728
FL
Other
Enumeration date
10/07/2019
Last updated
10/03/2024
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