Individual
MRS. PETRA STOCKHAUS WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LBA
Contact information
Practice address
8000 BROOK RD, RICHMOND, VA 23227-1306
(804) 521-5571
Mailing address
4100 PRICE CLUB BLVD, MIDLOTHIAN, VA 23112-3379
(804) 674-8888
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15574
VA
Other
Enumeration date
04/23/2014
Last updated
02/15/2023
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