Individual
COURTNEY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12315 POND RUN DR APT 102, LAKE RIDGE, VA 22192-7067
(251) 721-2950
(251) 721-2950
Mailing address
12315 POND RUN DR APT 102, LAKE RIDGE, VA 22192-7067
(251) 721-2950
(251) 721-2950
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
VA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/21/2025
Last updated
08/20/2025
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