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Individual

MRS. PETRA STOCKHAUS WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED, BCBA, LBA

Contact information

Practice address
15713 MOSS FIRE CT, MOSELEY, VA 23120-1614
(804) 601-0132
(804) 816-4550
Mailing address
2704 MEETING GATE CT, MIDLOTHIAN, VA 23112-4322
(804) 536-9359
(804) 816-4550

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15574
VA
103K00000X
Behavior Analyst
Primary
1053731448
VA

Other

Enumeration date
04/23/2014
Last updated
07/29/2026
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