Individual
AYZIA BUMBREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
648 INDEPENDENCE PKWY, CHESAPEAKE, VA 23320-5206
(757) 716-7067
Mailing address
714 FIRETHORN RD, CHESAPEAKE, VA 23320-3507
(540) 455-8948
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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