Individual
KATHERINE PETERSON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1200 JAMAICA AVE, CHESAPEAKE, VA 23322-6928
(757) 580-7006
Mailing address
1200 JAMAICA AVE, CHESAPEAKE, VA 23322-6928
(757) 580-7006
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000734
VA
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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