Individual
CARLY GRACE HURDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2008 GENERAL BOOTH BLVD, VIRGINIA BEACH, VA 23454-5910
(757) 271-6980
Mailing address
5505 MACGUFFIE ST, VIRGINIA BEACH, VA 23464-7105
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-2830909
VA
106E00000X
Assistant Behavior Analyst
Primary
0-25-16492
VA
Other
Enumeration date
06/09/2021
Last updated
07/29/2026
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