Individual
BROOKE KIEFFER OZZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
4108 E PARHAM RD, RICHMOND, VA 23228-2754
(804) 355-0300
Mailing address
1035 BYRD ST, LYNCHBURG, VA 24504-2113
(434) 444-4608
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000540
VA
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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