Individual
COI PERHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
900 COMMONWEALTH PL, VIRGINIA BEACH, VA 23464-4517
(855) 772-8847
Mailing address
6404 FLUSHING RD, FLUSHING, MI 48433-2551
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002388
VA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
06/23/2017
Last updated
02/25/2026
About Stedi
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