Individual
LEEANNE MICHELLE BRYANT-DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 PLANTATION RD NE, ROANOKE, VA 24012-5713
(540) 266-7903
Mailing address
1320 PLANTATION RD NE, ROANOKE, VA 24012-5713
(540) 266-7903
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-205371
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106S00000X
—
VA
Enumeration date
03/03/2022
Last updated
03/03/2022
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