Individual
JASMINE DENISE WALTON NORWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 GROVEDALE DR, ALEXANDRIA, VA 22310-2504
(571) 290-0143
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
106S00000X
Behavior Technician
—
VA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
06/08/2022
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