Individual
KIAH EVANS FERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3104 GLADE RD, BLACKSBURG, VA 24060-1948
(540) 320-5270
Mailing address
3104 GLADE RD, BLACKSBURG, VA 24060-1948
(540) 320-5270
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000124
VA
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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