Individual
MEDGINE AUGUSTE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
17507 LEE HWY, ABINGDON, VA 24210-7835
(276) 525-1338
Mailing address
8753 TERRACINA LAKE DR, TAMPA, FL 33625-3011
(941) 757-7354
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47869
FL
106S00000X
Behavior Technician
RBT-20-114018
FL
Other
Enumeration date
03/04/2020
Last updated
04/14/2025
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