Individual
JUSTICE GONZALEZ-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
4428 BONNEY RD UNIT 405, VIRGINIA BEACH, VA 23462-3887
(757) 338-3677
Mailing address
4428 BONNEY RD UNIT 405, VIRGINIA BEACH, VA 23462-3887
(757) 338-3677
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002706
VA
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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