Individual
LIBBEY SATINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED., BCBA, LBA
Contact information
Practice address
619 HOLDCROFT DR, RICHMOND, VA 23225-6820
(540) 397-5462
Mailing address
619 HOLDCROFT DR, RICHMOND, VA 23225-6820
(540) 397-5462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001087
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133001087
VA DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
01/20/2017
Last updated
09/18/2019
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