Individual
KRISTEN NICOLE LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1431B WEEKSVILLE RD, ELIZABETH CITY, NC 27909-8431
(252) 677-5100
Mailing address
3126 W CARY ST, BOX 116, ATLANTIC AUTISM SERVICES, INC, RICHMOND, VA 23221-3504
(252) 677-5100
(252) 677-5110
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001967
VA
103K00000X
Behavior Analyst
1-21-48441
NC
103K00000X
Behavior Analyst
1-21-48441
VA
Other
Enumeration date
04/07/2021
Last updated
09/28/2023
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