Individual
KATELYN ADAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
254 CAMPBELL LN # LB, TAZEWELL, VA 24651-5387
(276) 979-4500
Mailing address
254 CAMPBELL LN # LB, TAZEWELL, VA 24651-5387
(276) 979-4500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-177824
VA
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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