Individual
MICHELE HEATHER KISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1345 NORTHVALE DR, VIRGINIA BEACH, VA 23464-8806
(757) 615-3003
Mailing address
715 MADISON RD, WILLIAMSBURG, VA 23185-5217
(757) 705-9295
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1084411
VA
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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