Individual
BETHANY RENEE BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 LYNNHAVEN PKWY STE 250, VIRGINIA BEACH, VA 23452-7332
(034) 922-6867
Mailing address
780 LYNNHAVEN PKWY STE 250, VIRGINIA BEACH, VA 23452-7332
(301) 752-3211
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25-443280
VA
Other
Enumeration date
06/16/2025
Last updated
06/25/2025
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